Peripheral vascular complications of aortic dissection.
BACKGROUND
The incidence and management of peripheral vascular complications of aortic dissection is unsettled.


METHODS
Peripheral vascular complications of spontaneous aortic dissection were examined in a 5-year retrospective review. Patients who had peripheral vascular complications were categorized as group A; those without as group B.


RESULTS
Thirty-eight major vessels were affected in 18 patients. No patient underwent a peripheral vascular procedure for complications of the carotid, subclavian, celiac, mesenteric, or renal arteries. Three patients underwent femorofemoral bypass for acute iliofemoral occlusion due to dissection. A fourth patient had repair of an iliac aneurysm that developed as a complication of chronic dissection. The mortality rate was 17% for group A, 9% for group B, and 10% overall. Following repair of the aortic dissection, the majority of the peripheral vascular complications resolved.


CONCLUSIONS
Peripheral revascularization is infrequently required in aortic dissection following primary dissection repair.
Hughes
J D
JD
Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Bacha
E A
EA
Dodson
T F
TF
Martin
T
T
Smith
R B
RB
Chaikof
E L
EL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D002340:Carotid Artery Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D012077:Renal Artery; D012189:Retrospective Studies; D013348:Subclavian Artery; D014652:Vascular Diseases / Q000209:etiology* / Q000601:surgery