A Case of Two-staged Operation for Stanford Type B Dissecting Aneurysms with Acute Renal Failure.
10.4326/jjcvs.26.258
- VernacularTitle:急性腎不全を合併したＳｔａｎｆｏｒｄ Ｂ型解離性大動脈りゅうに対する二期的根治術の一例
- Author:
Isao Komesu
;
Shuji Fukunaga
;
Keiichiro Tayama
;
Naofumi Enomoto
;
Hiroshi Kawano
;
Kenji Ishihara
;
Atsuhisa Tanaka
;
Hidetoshi Akashi
;
Kenichi Kosuga
;
Shigeaki Aoyagi
- Publication Type:Journal Article
- Keywords:
Axillo-Femoral bypass
- From:Japanese Journal of Cardiovascular Surgery
1997;26(4):258-261
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man was admitted for treatment of Stanford type B acute dissecting aneurysm with acute renal failure. He had begun hemodialysis one month after onset, because digital subtraction angiography (DSA) revealed that the truelumen was narrowed by a dilated false channel just above the renal artery. Initially axillo-femoral bypass was performed to treat renal failure, and the patients was easily weaned from hemodialysis. Eight months after the first operation, descending thoracic aorta replacement was performed. The patient is doing well one year after operation. In conclusion, axillo-femoral bypass yielded good results because our patient recovered from renal failure and could undergo radical operation safely. Axillo-femoral bypass allowed evaluation of the hemodynamic study before radical operation.
