Immediate endovascular stent-grafting for leg ischemia secondary to acute aortic dissection: report of a case.
Generally, extra-anatomical bypass grafting has been chosen for patients with leg ischemia secondary to acute aortic dissection. However, these patients are high-risk candidates for visceral vessel compromise as well. We present a case of leg ischemia secondary to acute aortic dissection, which was able to be treated by immediate stent-grafting. A 58-year-old male was transferred to our hospital for acute right-leg ischemia. Computed tomography revealed partial infarction of right kidney and severely compressed true lumen of abdominal aorta. Emergency endovascular stent-grafting was chosen to consider possible visceral vessel compromises instead of contemporary bypass grafting for leg ischemia. Pulsation of the right femoral artery was immediately achieved following stent-grafting. Primary entry closure using a Stent graft could be a treatment of choice for complications due to acute aortic dissection.
Kurimoto
Yoshihiko
Y
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, Sapporo 060-8543, Japan. kurimoto@sapmed.ac.jp
Morishita
Kiyofumi
K
Kawaharada
Nobuyoshi
N
Osawa
Hisayoshi
H
Maeda
Toshiyuki
T
Higami
Tetsuya
T
Asai
Yasufumi
Y
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging; D007511:Ischemia / Q000601:surgery*; D007668:Kidney / Q000098:blood supply; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional