Axillomesenteric bypass: An unusual solution to a difficult problem
| Autor: | A. Ross Naylor, G. Markose, Robert D. Sayers, Christos D. Karkos, Greg S. McMahon |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Aortography Exacerbation Aortic Diseases Aorta Thoracic Arterial Occlusive Diseases Pulmonary Edema Anuria Prosthesis Design Blood Vessel Prosthesis Implantation Ischemia Mesenteric Artery Superior medicine.artery Intestine Small Mesenteric Vascular Occlusion Medicine Thoracic aorta Humans Aorta Abdominal Polytetrafluoroethylene medicine.diagnostic_test business.industry Abdominal aorta Acute kidney injury Gallbladder Flash pulmonary edema Arteries Acute Kidney Injury Middle Aged medicine.disease Surgery Mesenteric ischemia Axilla Hypertension Female medicine.symptom business Tomography X-Ray Computed Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of Vascular Surgery. (2):404-407 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2006.09.045 |
| Popis: | A 49-year-old woman presented with acute anuric renal failure and severe hypertension. Imaging revealed occlusion of the distal thoracic and abdominal aorta. Acute hemodialysis and reduction in blood pressure precipitated an acute exacerbation of previously undiagnosed mesenteric ischemia. Repeated episodes of flash pulmonary edema and a generally parlous clinical condition precluded thoracoabdominal reconstruction. As a result, a left axillomesenteric bypass was performed as a substitute, using a 6-mm externally ringed PTFE graft. She made an uneventful recovery, and her abdominal symptoms resolved swiftly. The patient remains symptom-free 12 months postoperatively. In this rare situation, extra-anatomic bypass provided an unorthodox but less-invasive solution to a difficult surgical problem. |
| Databáze: | OpenAIRE |
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