Back to Search
Start Over
Axillofemoral Bypass Relieves Visceral Malperfusion in Type B Aortic Dissection
- Source :
- The Annals of Thoracic Surgery. 95:703-705
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- A 58-year-old man with acute type B aortic dissection presented with right lower limb cyanosis, mesenteric ischemia, and acute renal failure. He was treated with extraanatomic right axillofemoral bypass surgery alone, recovered completely from renal, mesenteric, and lower extremity malperfusion shortly thereafter, and lived free of symptoms for the following year. Follow-up computed tomography angiograms documented adequate expansion of the true aortic lumen and good perfusion of visceral organs. Thus, managing such patients with coexisting visceral and extremity malperfusion may be accomplished with axillofemoral bypass exclusively, which can relieve ischemia of upstream abdominal organs and downstream lower extremities effectively and durably.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Ischemia
Anastomosis
Aortic aneurysm
Aneurysm
Internal medicine
medicine
Humans
Aortic dissection
Aortic Aneurysm, Thoracic
business.industry
Anastomosis, Surgical
Middle Aged
medicine.disease
Surgery
Femoral Artery
Aortic Dissection
Mesenteric ischemia
Cardiothoracic surgery
Cardiology
Axillary Artery
Cardiology and Cardiovascular Medicine
business
Vascular Surgical Procedures
Perfusion
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 95
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....7caf772bb3a5a6f375861dcd9358b85a