Abdominal aortic grafting for renal and lower extremity hypoperfusion due to aortic dissection with progressive thrombosis of a false channel.
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.
Nakajima
Masato
M
Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan.
Tsuchiya
Koji
K
Fukuda
Shoji
S
Mitsumori
Yoshitaka
Y
Morimoto
Hironobu
H
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