title: Abdominal aortic grafting for renal and lower extremity hypoperfusion due to aortic dissection with progressive thrombosis of a false channel.
abstract: We present the case of a 53-year-old man with renal and bilateral limb ischemia due to Stanford B aortic dissection. The thrombosis of the false lumen had progressed and compressed the true lumen, developing renal and leg ischemia. Urgent graft replacement of the infrarenal abdominal aorta with proximal fenestration was successfully performed and the patient was discharged without complications.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Nakajima
authors.forename: Koji
authors.initials: K
authors.lastname: Tsuchiya
authors.forename: Shoji
authors.initials: S
authors.lastname: Fukuda
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Mitsumori
authors.forename: Hironobu
authors.initials: H
authors.lastname: Morimoto
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001012:Aorta, Abdominal; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D007668:Kidney / Q000098:blood supply; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000209:etiology; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*; D019737:Transplants; D016896:Treatment Outcome