Splanchnic or peripheral hypo-perfusion or malperfusion may complicate, in most patients, type A acute aortic dissection (AAD) and it can create serious perioperative complications that significantly affect early and long-term prognosis. Particularly, malperfusion of lower limbs, both for static or dynamic flow alteration in AAD is reported in nearly 15% of patients.1 In the present report, we describe the case of a young male presenting with AAD and right leg ischemia due to flap occlusion of the right internal iliac artery treated with ascending aorta replacement and simultaneous femoro-femoral crossover.

Type A acute aortic dissection complicated by lower limb ischemia: simultaneous ascending aortic replacement and femoro-femoral crossover bypass / A. Daprati, A. Garatti, A. Canziani, A. Parolari. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2035. - 22:12(2021), pp. e35-e36. [10.2459/JCM.0000000000001251]

Type A acute aortic dissection complicated by lower limb ischemia: simultaneous ascending aortic replacement and femoro-femoral crossover bypass

A. Daprati
;
A. Garatti;A. Parolari
Ultimo
2021

Abstract

Splanchnic or peripheral hypo-perfusion or malperfusion may complicate, in most patients, type A acute aortic dissection (AAD) and it can create serious perioperative complications that significantly affect early and long-term prognosis. Particularly, malperfusion of lower limbs, both for static or dynamic flow alteration in AAD is reported in nearly 15% of patients.1 In the present report, we describe the case of a young male presenting with AAD and right leg ischemia due to flap occlusion of the right internal iliac artery treated with ascending aorta replacement and simultaneous femoro-femoral crossover.
Acute Disease; Arterial Occlusive Diseases; Extracorporeal Circulation; Humans; Hypothermia, Induced; Ischemia; Leg; Male; Middle Aged; Reoperation; Treatment Outcome; Ultrasonography, Doppler, Duplex; Vascular Surgical Procedures; Aneurysm, Dissecting; Graft Occlusion, Vascular; Iliac Artery
Settore MED/23 - Chirurgia Cardiaca
2021
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/915621
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