[A case of type I aortic dissection presenting as bilateral lower limb ischemia. Discussion of surgical strategy].
The authors report about one case of type I aortic dissection disclosed as bilateral lower limb ischemia. The rarity of this way of expression of dissections may result in a delay in diagnosis that can be highly pejorative in such diseases where mortality is high without surgical treatment. The timing and tactics of the surgery to be implemented between the cure of dissection and the removal of ischemia is discussed. Lastly the choice of the mode of arterial cannulation in a patient who had had an axillo-bifemoral bypass ten days earlier also makes this case interesting.
Kovarsky
S
S
Service de Chirurgie thoracique et cardio-vasculaire, Hôpital Charles-Nicolle, Rouen.
Bessou
J P
JP
Olaya
L
L
Bouchart
F
F
Mouton-Schleifer
D
D
Arrignon
J
J
Redonnet
M
M
Soyer
R
R
Tubiana
J P
JP
Peillon
C
C
D000368:Aged; D000784:Aortic Dissection / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D008297:Male
Un cas de dissection aortique de type I révélée par une ischémie bilatérale des membres inférieurs. Discussion concernant la tactique chirurgicale.