title: [Surgical treatment of aortic dissection with lower extremity ischemia].
abstract: Objective:To explore the clinical outcome of the surgical treatment for aortic dissection with lower extremity ischemia.Methods:Between March 2009 and April 2013, 14 patients with type A aortic dissection and lower extremity ischemia underwent Sun's procedure in Beijing Anzhen Hospital. Ascending aorta-iliac artery bypass, ascending aorta-femoral artery bypass, femoral-femoral artery bypass and axillary -femoral artery bypass were performed on some severe patients at the same time.Results:Two death occurred, and the others were improved or recovered from symptoms. Follow-up was complete with an average time of 24 months and no aortic relevant complications occurred.Conclusion:As for patients with type A aortic dissection and lower extremity ischemia, simultaneous radical femoral artery bypass procedure is effective in improving their survival rate and quality of life.
authors.affiliation: Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Aortic Disease Center, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.
authors.forename: J R
authors.initials: JR
authors.lastname: Xue
authors.forename: B
authors.initials: B
authors.lastname: Li
authors.forename: Y M
authors.initials: YM
authors.lastname: Liu
authors.forename: T
authors.initials: T
authors.lastname: Bai
authors.forename: X D
authors.initials: XD
authors.lastname: Pan
authors.forename: N N
authors.initials: NN
authors.lastname: Liu
authors.forename: Z
authors.initials: Z
authors.lastname: Qu
authors.forename: L Z
authors.initials: LZ
authors.lastname: Sun
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D035002:Lower Extremity; D011788:Quality of Life; D016896:Treatment Outcome
keywords: Aneurysm, dissecting; Aortic aneurysm; Arterial occlusive diseases; Lower extremity ischemia; Sun′s procedure