Femorofemoral Shunt During Surgery for Acute DeBakey Type 1 Dissection to Treat Peripheral Extremity Malperfusion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28007264.
- Also identified by DOI 10.1016/j.athoracsur.2016.05.114.
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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.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Arteriovenous Shunt, Surgical
- Extremities
- Ischemia