Schöön I M, Holm J, Südow G
Scand J Thorac Cardiovasc Surg. 1985;19(1):93-5. doi: 10.3109/14017438509102829.
Reports are presented of three hypertensive men with aortic dissection and signs of peripheral (leg) ischemia. The dissection was of type III b in two cases and type I in one case. Hypotensive medication was given in all cases, but in two of them peripheral vascular surgery became necessary to re-establish the circulation, while in the third case the hypotensive treatment sufficed for improvement of the leg circulation. Collaboration between thoracic and vascular surgeons can be of value in cases of aortic dissection with peripheral ischemia.
报告了3例患有主动脉夹层并伴有外周(腿部)缺血体征的高血压男性患者。2例为Ⅲb型夹层,1例为Ⅰ型夹层。所有病例均给予了降压药物治疗,但其中2例需要进行外周血管手术以重建血液循环,而第3例患者的降压治疗足以改善腿部血液循环。对于伴有外周缺血的主动脉夹层病例,胸外科医生与血管外科医生之间的合作可能具有重要价值。