A Case of Abdominal Aortic Occlusion Caused by DeBakey's Type III b Acute Aortic Dissection.
10.4326/jjcvs.26.116
- VernacularTitle:ＤｅＢａｋｅｙ ＩＩＩｂ 型急性大動脈解離による腹部大動脈閉塞の一例
- Author:
Keiji Uchida
;
Jiro Kondo
;
Kiyotaka Imoto
;
Michio Tobe
;
Tadashi Ozaki
;
Akira Sakamoto
;
Yoshihiro Iwai
;
Yasuko Uranaka
;
Akihiko Matsumoto
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(2):116-119
- CountryJapan
- Language:Japanese
-
Abstract:
A Case of abdominal aortic occlusion caused by acute aortic dissection (DeBakey's type III b) is reported. A 59-year-old woman was admitted with sudden onset back pain and sensory disturbance of bilateral lower extremities. The pulsations of bilateral femoral arteries were absent. CT and aortogram revealed dissection of the thoracic descending aorta and infrarenal aortic occlusion. Since ischemic change had progressed, bilateral axillofemoral bypass was performed for limb salvage, and the symptoms improved rapidly. Axillofemoral bypass is an easy and safe procedure even in the acute phase of aortic dissection. It provides fast reperfusion, and so is considered to be useful to preventing myonephrotic metabolic syndrome MNMS.
