دورية أكاديمية
Management of acute type A aortic dissection with acute lower extremities malperfusion
| العنوان: | Management of acute type A aortic dissection with acute lower extremities malperfusion |
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| المؤلفون: | Dong Hoon Kang, Jong Woo Kim, Sung Hwan Kim, Seong Ho Moon, Jun Ho Yang, Jae Jun Jung, Hyun Oh. Park, Jun Young Choi, In Seok Jang, Chung Eun Lee, Jong Duk Kim, Joung Hun Byun |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 14, Iss 1, Pp 1-4 (2019) |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Surgery LCC:Anesthesiology |
| مصطلحات موضوعية: | Aortic dissection, Cardiopulmonary bypass, Axillo-bifemoral bypass, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| الوصف: | Abstract Background Acute type A aortic dissection complicated by malperfusion is a life – threatening emergency. The optimal management strategy for malperfusion remains controversial. Case presentation A 46-year-old man presented to another institution with acute type A aortic dissection with abdominal aorta occlusion. Motor and sensory grade of both lower extremities were zero. Immediate antegrade distal perfusion of both lower extremities was achieved, and total arch replacement with left axillo-bifemoral bypass was performed. At the time of discharge, motor and sensory grades of both lower extremities were 2 and 3, respectively. Conclusion This case demonstrates many of the techniques in the management of acute type A aortic dissection with abdominal aorta occlusion. In this case, direct antegrade perfusion of both lower extremities and axillo-bifemoral bypass may be helpful for patients presenting with severe malperfusion of both lower extremities with acute type A aortic dissection. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1749-8090 |
| Relation: | http://link.springer.com/article/10.1186/s13019-019-1033-5; https://doaj.org/toc/1749-8090 |
| DOI: | 10.1186/s13019-019-1033-5 |
| URL الوصول: | https://doaj.org/article/a4b4f9c4b74f41a987626b364c3e7e0a |
| رقم الأكسشن: | edsdoj.4b4f9c4b74f41a987626b364c3e7e0a |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 17498090 |
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| DOI: | 10.1186/s13019-019-1033-5 |