[Frozen elephant trunk procedure for DeBakey type i acute aortic dissection complicated by lower limb malperfusion]. / Ostroe rassloenie aorty I tipa (po Debeiki) s sindromom mal'perfuzii nizhnikh konechnostei.
Khirurgiia (Mosk)
; (9): 80-84, 2020.
Article
em Ru
| MEDLINE
| ID: mdl-33030006
ABSTRACT
Two-stage surgical treatment of a patient with type I acute aortic dissection and lower limb malperfusion is reported in the manuscript. Frozen elephant trunk procedure was applied. A 49-year-old man was hospitalized with a diagnosis of «Debakey type I acute aortic dissection¼ in 7 hours after manifestation of the disease. At admission, paleness and numbness of both lower limbs with a violation of active movements were observed in addition to pain syndrome. Chest CT revealed false lumen thrombosis within the distal aorta followed by stenosis of aortic bifurcation up to 80% and stenosis of the right common iliac artery up to 80%. Considering critical lower limb ischemia, axillo-bifemoral bypass surgery was performed at the first stage. A day later, the patient underwent replacement of ascending aorta, aortic arch and descending thoracic aorta. E-vita Open Plus â 24 hybrid prosthesis and frozen elephant trunk procedure under hypothermia 25o C with bilateral antegrade cerebral perfusion were used. CPB time was 285 min, aortic cross-clamping time - 180 min, circulatory arrest - 135 min. Postoperative period was uneventful, ICU-stay - 5 days. The patient was discharged after 20 days. Control CT confirmed false lumen thrombosis throughout the stent-graft. Follow-up survey after 1 year revealed no complaints.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Implante de Prótese Vascular
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Extremidade Inferior
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Dissecção Aórtica
Limite:
Humans
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Male
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Middle aged
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2020
Tipo de documento:
Article