Autor: |
Rajachandran, Manu, Altin, Robert |
Předmět: |
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Zdroj: |
Vascular Medicine; 2003, Vol. 8 Issue 3, p219-220, 2p |
Abstrakt: |
This article describes images of a 71-year old man with A 71-year-old man with progressive chronic renal insufficiency was referred to our institution for severe hypertension unresponsive to a five drug anti-hypertensive regimen. He had a prior history of chronic hypertension, which had been well controlled on a single anti-hypertensive medication, until he underwent aorto-bifemoral bypass surgery at another institution for distal aortic occlusion and severe bilateral lower extremity claudication. Moderate atherosclerotic bilateral renal artery stenosis had been noted on angiography at the time of aortic surgery two years previously. Distal aortic reconstruction was performed with a 16mm x 8 mm bifurcated Dacron graft, and was complicated by significant bleeding from several `sheared branches' of the abdominal aorta; the bleeding was eventually controlled with extensive stapling of these branch vessels. |
Databáze: |
Complementary Index |
Externí odkaz: |
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