A Case of Effective Balloon Fenestration for Localized Aortic Dissection Complicated with Acute Renal and Bilateral Limb Ischemia in a Thoracoabdominal Aortic Aneurysm
| Autor: | Kayo Sugiyama, Katsuhiko Matsuyama, Yuki Maruyama, Yuki Orimoto, Yusuke Imaeda, Hiroki Mitsuoka, Kojiro Suzuki, Ako Isogai, Takahiro Arima, Hiroyuki Ishibashi |
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| Rok vydání: | 2021 |
| Předmět: |
Aortic dissection
medicine.medical_specialty business.industry Case Report malperfusion General Medicine Blood flow medicine.disease Balloon transcatheter balloon fenestration Diaphragm (structural system) Surgery Stenosis Aortic aneurysm Blood pressure medicine.artery medicine Superior mesenteric artery aortic dissection business |
| Zdroj: | Annals of Vascular Diseases |
| ISSN: | 1881-6428 1881-641X |
| DOI: | 10.3400/avd.cr.21-00023 |
| Popis: | An 85-year-old man visited our hospital with bilateral leg weakness. Blood tests revealed an abrupt deterioration of renal function. Computed tomography revealed a 53-mm aortic aneurysm at the level of the diaphragm with an aortic dissection after branching of the superior mesenteric artery. An emergency left axillary-left femoral artery bypass surgery was performed to secure blood flow to the kidneys and lower limbs. Five days later, a transcatheter balloon fenestration for the stenosis was performed, and the blood pressure of the infrarenal aorta was improved. Both the dorsal pedis and posterior tibial arteries became palpable, and renal function was improved. |
| Databáze: | OpenAIRE |
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