Fenestration Operation to Correct Acute Renal Failure After Total Aortic Arch Replacement in DeBakey type I Aortic Dissection: 1 case report.
- Author:
Seung Hwan PYUN
1
;
Jae Wook NO
;
Jung Hee BANG
;
Kwang Jo JO
;
Chong Su WOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dong-A University, Korea.
- Publication Type:Case Report
- Keywords:
Renal failure;
acute;
Fenestration
- MeSH:
Acute Kidney Injury*;
Anuria;
Aorta, Abdominal;
Aorta, Thoracic*;
Aortography;
Carotid Arteries;
Dilatation;
Female;
Humans;
Middle Aged;
Renal Artery;
Renal Insufficiency;
Thrombectomy;
Ultrasonography, Doppler
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(4):402-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 56-year old female underwent total aortic arch replacement March 1995, because of an expanding chronic Debakey type I aortic dissection. This aortic dissection had an intimal tear at the origin of the right carotid artery. Retrograde and antegrade propagation of dissection resulted in aortic arch blood flow separation and expanding pseudolumen to the abdominal aorta. Sudden anuria (ARF) developed 3 hours later postoperatively and renal doppler ultrasonography and aortography showed diminished blood flow of renal arteries. We performed balloon aortic dilatation but failed. She could be restored good renal flow after intimal flap fenestration resection and thrombectomy of the abdominal aorta. This patient could be discharged in a state of mild CRF after 2 months of ICU care for respiratory and renal failure.
