Femorofemoral Shunt During Surgery for Acute DeBakey Type 1 Dissection to Treat Peripheral Extremity Malperfusion.
作者信息
Jeng Eric I, Voskresensky Igor, Beck Adam W, Lee Teng C
机构信息
Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Florida.
Division of Vascular Surgery, University of Florida, Gainesville, Florida.
出版信息
Ann Thorac Surg. 2017 Jan;103(1):e17-e20. doi: 10.1016/j.athoracsur.2016.05.114.
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.
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