A Case of Occlusion of the Abdominal Aorta at the Chronic Phase of Thrombosed Type A Aortic Dissection.
10.4326/jjcvs.28.264
- VernacularTitle:早期血栓閉塞型大動脈解離慢性期に腹部大動脈真腔閉鎖をきたした１例
- Author:
Hidenori Sako
;
Shouzou Fujiwara
;
Tetsuo Hadama
;
Yoshiaki Mori
;
Osamu Shigemitsu
;
Shinji Miyamoto
;
Hirofumi Anai
;
Tohru Soeda
;
Shougo Urabe
;
Tomoyuki Wada
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(4):264-267
- CountryJapan
- Language:Japanese
-
Abstract:
A 62-year-old woman was admitted for chest and back pains. She was found to have thrombosed type A aortic dissection by enhanced computed tomography. Since she had no clinical symptoms after her admission, she was discharged. Forty days after the admission, she returned with acute renal failure and ischemia of both lower extremities. Occlusion of the abdominal aorta was diagnosed and emergency axillobifemoral bypass was performed. Her renal function and the ischemia of both lower extremities improved dramatically and she was discharged 30 days after the operation. Axillobifemoral bypass is one of the most effective and least invasive operations in such cases.
