title: Femorofemoral Shunt During Surgery for Acute DeBakey Type 1 Dissection to Treat Peripheral Extremity Malperfusion.
abstract: Peripheral extremity ischemia in patients presenting with a DeBakey type 1 aortic dissection is an independent predictor for mortality. We present a patient with a DeBakey type 1 aortic dissection and peripheral extremity malperfusion that underwent simultaneous aortic repair and percutaneous femorofemoral shunt with arterial sidearm. Our approach allows for immediate peripheral extremity reperfusion and subsequent objective determination of the necessity of femorofemoral bypass via perfusion pressures.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Florida. Electronic address: ejeng2@gmail.com.
authors.forename: Eric I
authors.initials: EI
authors.lastname: Jeng
authors.affiliation: Division of Vascular Surgery, University of Florida, Gainesville, Florida.
authors.forename: Igor
authors.initials: I
authors.lastname: Voskresensky
authors.affiliation: Division of Vascular Surgery, University of Florida, Gainesville, Florida.
authors.forename: Adam W
authors.initials: AW
authors.lastname: Beck
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Florida.
authors.forename: Teng C
authors.initials: TC
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005121:Extremities / Q000098:blood supply*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional