Management of acute type A aortic dissection with acute lower extremities malperfusionopen access
- Kang, Dong Hoon; Kim, Jong Woo; Kim, Sung Hwan; Moon, Seong Ho; Yang, Jun Ho; Jung, Jae Jun; Park, Hyun Oh.; Choi, Jun Young; Jang, In Seok; Lee, Chung Eun; Kim, Jong Duk; Byun, Joung Hun
- Issue Date
- Aortic dissection; Cardiopulmonary bypass; Axillo-bifemoral bypass
- JOURNAL OF CARDIOTHORACIC SURGERY, v.14, no.1
- Journal Title
- JOURNAL OF CARDIOTHORACIC SURGERY
- Background Acute type A aortic dissection complicated by malperfusion is a life - threatening emergency. The optimal management strategy for malperfusion remains controversial. Case presentation A 46-year-old man presented to another institution with acute type A aortic dissection with abdominal aorta occlusion. Motor and sensory grade of both lower extremities were zero. Immediate antegrade distal perfusion of both lower extremities was achieved, and total arch replacement with left axillo-bifemoral bypass was performed. At the time of discharge, motor and sensory grades of both lower extremities were 2 and 3, respectively. Conclusion This case demonstrates many of the techniques in the management of acute type A aortic dissection with abdominal aorta occlusion. In this case, direct antegrade perfusion of both lower extremities and axillo-bifemoral bypass may be helpful for patients presenting with severe malperfusion of both lower extremities with acute type A aortic dissection.
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- College of Medicine > Department of Medicine > Journal Articles
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