Document Detail

Axillofemoral bypass relieves visceral malperfusion in type B aortic dissection.
MedLine Citation:
PMID:  23336885     Owner:  NLM     Status:  In-Data-Review    
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.
Hsun-Nan Kuo; Hui-Chin Lai; Yi-Wen Chang; Chung-Chi Wang; Wen-Lieng Lee; Si-Wa Chan; Kuo-Yang Wang; Chih-Tai Ting; Tsun-Jui Liu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  95     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  703-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Departments of Anesthesiology and Radiology, Cardiovascular Center, Taichung Veterans General Hospital, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine, Taichung Armed Forces General Hospital, Taipei, Taiwan.
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