Document Detail


Recurrent aortic occlusion.
MedLine Citation:
PMID:  8304647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a review of 134 aortic occlusions in 123 patients, there were 10 patients that suffered recurrent aortic occlusions (RAO). These patients developed RAO after revascularization for primary aortic occlusion and presented with signs and symptoms of acute lower extremity ischemia. The recurrent occlusions occurred in one native aorta and in 10 aortobifemoral grafts. The etiology of the primary aortic occlusion included chronic aortic occlusion in eight patients and acute aortic occlusion and aortic graft occlusion in one patient each. Original primary operations performed included aortoiliac thromboendarterectomy with Dacron patch aortoplasty (1 patient), AF bypass (8 patients), and aortofemoral graft thrombectomy (1 patient). All of the grafts had end-to-end proximal anastomoses, the diameter of which ranged from 12 to 16 mm. Secondary operations performed for RAO included six axillofemoral bypasses, four redo aortobifemoral bypasses, and one graft thrombectomy. All patients were managed with immediate anticoagulation, expeditious arteriography, and revascularization. There were no perioperative deaths, and no limbs were lost. No patient was lost to follow-up (mean 10 years). Extra-anatomic bypass has proved durable. Redo aortobifemoral bypass is useful in selected patients with surgically correctable lesions.
Authors:
S S Tapper; W H Edwards; W H Edwards; J M Jenkins; J L Mulherin; R S Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  60     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-03-07     Completed Date:  1994-03-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  148-50     Citation Subset:  IM    
Affiliation:
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aorta / surgery
Aortic Diseases / surgery*
Arterial Occlusive Diseases / surgery*
Arteriosclerosis / surgery
Blood Vessel Prosthesis
Chronic Disease
Endarterectomy
Femoral Artery / surgery
Graft Occlusion, Vascular
Humans
Ischemia / etiology
Leg / blood supply
Recurrence
Reoperation
Retrospective Studies
Thrombosis / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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