A Case of Stanford Type B Dissection with Limb Ischemia and Renal Disfunction Caused by Severely Compressed True Lumen
10.4326/jjcvs.34.310
- VernacularTitle:高度真腔狭小化による両側下肢虚血と腎機能障害を認めたＳｔａｎｆｏｒｄ Ｂ型大動脈解離の１例
- Author:
Hitoshi Suzuki
;
Shinji Kanemitsu
;
Toshiya Tokui
;
Yuo Kanamori
;
Yoshihiko Kinoshita
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(4):310-313
- CountryJapan
- Language:Japanese
-
Abstract:
A 62-year-old man suddenly felt severe back pain. An enhanced computed tomography (CT) demonstrated an acute Stanford type B dissection and the true lumen was severely compressed by the false lumen. We started conservative therapy because there was no sign of organ ischemia. A 23 days from onset, he developed bilateral limb ischemia and renal failure because the compression of the true lumen increased. After bilateral axillo-femoral bypass the organ ischemia disappeared. Four months later, CT showed the dilatation of the true lumen and occlusion of the bilateral grafts. In spite of graft occlusion, there was no sign of organ ischemia.
