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既往腹主动脉瘤修复术后因急性主动脉夹层导致的严重肢体缺血。

Severe limb ischemia related to previous abdominal aortic aneurysm repair induced by acute aortic dissection.

作者信息

Umeda Yukio, Imaizumi Matsuhisa, Mori Yoshio, Takiya Hiroshi

机构信息

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu, Gifu, Japan.

出版信息

Ann Vasc Dis. 2011;4(1):37-9. doi: 10.3400/avd.cr.10.00015. Epub 2011 Feb 17.

DOI:10.3400/avd.cr.10.00015
PMID:23555425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3595776/
Abstract

We described the first case of limb ischemia induced by acute aortic dissection in the patient with previous abdominal aortic aneurysm (AAA) repair. A 56-year-old male was referred for severe limb ischemia. He underwent AAA repair one month before the referral. Computed tomography (CT) scan revealed Stanford type B aortic dissection extended to the proximal anastomosis site of the AAA repair. The false lumen made the complete interruption of antegrade blood flow at the proximal anastomosis site of the AAA repair.

摘要

我们描述了首例在既往有腹主动脉瘤（AAA）修复史的患者中，由急性主动脉夹层引起肢体缺血的病例。一名56岁男性因严重肢体缺血前来就诊。他在就诊前一个月接受了AAA修复术。计算机断层扫描（CT）显示斯坦福B型主动脉夹层延伸至AAA修复术的近端吻合部位。假腔导致AAA修复术近端吻合部位的顺行血流完全中断。

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