| Surgical strategies for organ malperfusions in acute type B aortic dissection. | |
| | |
MedLine Citation:
|
PMID: 18854338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study is retrospectively to evaluate strategies for organ malperfusion on the view point of two mechanisms (true lumen collapse in the aorta=Ao type, or branch dissection=Br type) in acute type B aortic dissection. There were 16 of Ao type and 4 of Br type in 20 patients with organ malperfusion. In Ao type, we performed entry closure in 12 patients, surgical bypass grafting in two to superior mesenteric artery (SMA) in one and femoral artery in two, and surgical fenestration in two. In Br type, we performed interventional non-covered stenting to the orifice of visceral arteries in two patients, surgical bypass to SMA with ileum resection in one, and surgical bypass to SAM and renal arteries in one. Five patients in 16 of Ao type died within 30 days that had two multiple organ failure after entry closure, one aortic injury during endovascular stent graft repair, two more multiple organ failure after femoral bypass, however, all four patients in Br type were rescued. Central aortic operation to true lumen collapse with entry closure for Ao type ischemia and organ reperfusion with extra-anatomical bypass or non-covered stent to ischemic arteries for Br type ischemia should be performed before catastrophic status. |
| | |
Authors:
|
Naomichi Uchida; Hidenori Shibamura; Akira Katayama; Keishi Aishin; Miwa Sutoh; Masatsugu Kuraoka |
Related Documents
:
|
18615378 - Icu controlled delay for acute type a aortic dissection repair after intervention for t... 17355508 - Hemicrania continua-like headache associated with internal carotid artery dissection ma... 21092788 - Branched endografts for thoracoabdominal aneurysms. 10220648 - Determinants of aortic artifacts during transesophageal echocardiography of the ascendi... 9211068 - Genetic determinants of high density lipoprotein levels. 3822108 - "distal stump" of the internal carotid artery with ascending pharyngeal artery collater... |
Publication Detail:
|
Type: Journal Article Date: 2008-10-14 |
Journal Detail:
|
Title: Interactive cardiovascular and thoracic surgery Volume: 8 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Jan |
Date Detail:
|
Created Date: 2009-01-05 Completed Date: 2009-04-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
|
Languages: eng Pagination: 75-8 Citation Subset: IM |
Affiliation:
|
Division of Cardiovascular Surgery, Hiroshima-city Asa General Hospital, Hiroshima, Japan. uchidacvs@yahoo.co.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adult Aged Aged, 80 and over Aneurysm, Dissecting / complications, mortality, radiography, surgery* Aortic Aneurysm / complications, mortality, radiography, surgery* Aortography / methods Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Female Femoral Artery / surgery Humans Ischemia / etiology, mortality, radiography, surgery* Male Mesenteric Artery, Superior / surgery Middle Aged Multiple Organ Failure / etiology, surgery Retrospective Studies Stents Time Factors Tomography, X-Ray Computed Treatment Outcome Vascular Surgical Procedures* / adverse effects, instrumentation, mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Carotid endarterectomy in high-risk Arab patients.
Next Document: Clinical benefit of cardiac ischemic postconditioning in corrections of tetralogy of Fallot.