title: Axillofemoral bypass relieves visceral malperfusion in type B aortic dissection.
abstract: A 58-year-old man with acute type B aortic dissection presented with right lower limb cyanosis, mesenteric ischemia, and acute renal failure. He was treated with extraanatomic right axillofemoral bypass surgery alone, recovered completely from renal, mesenteric, and lower extremity malperfusion shortly thereafter, and lived free of symptoms for the following year. Follow-up computed tomography angiograms documented adequate expansion of the true aortic lumen and good perfusion of visceral organs. Thus, managing such patients with coexisting visceral and extremity malperfusion may be accomplished with axillofemoral bypass exclusively, which can relieve ischemia of upstream abdominal organs and downstream lower extremities effectively and durably.
authors: Department of Anesthesiology, Cardiovascular Center, Taichung Veterans General Hospital, Taipei, Taiwan.
authors: Hsun-Nan
authors: HN
authors: Kuo
authors: Hui-Chin
authors: HC
authors: Lai
authors: Yi-Wen
authors: YW
authors: Chang
authors: Chung-Chi
authors: CC
authors: Wang
authors: Wen-Lieng
authors: WL
authors: Lee
authors: Si-Wa
authors: SW
authors: Chan
authors: Kuo-Yang
authors: KY
authors: Wang
authors: Chih-Tai
authors: CT
authors: Ting
authors: Tsun-Jui
authors: TJ
authors: Liu
mesh_terms: D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods