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CC BY 4.0 · Aorta (Stamford) 2014; 02(06): 286-288
DOI: 10.12945/j.aorta.2014.14-027
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ascending Aortic Repair and Simultaneous Femoro-Femoral Crossover Bypass for Acute DeBakey Type I Dissection with Leg Ischemia

Christian Olsson
1   Department of Molecular Medicine and Surgery, Cardiovascular Surgery Unit, The Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
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Further Information

Publication History

10 April 2014

20 August 2014

Publication Date:
24 September 2018 (online)

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Abstract

A 61-year-old man was admitted with acute Type A aortic dissection DeBakey Type I with clinical and radiographic signs of left iliac artery occlusion and leg ischemia. He underwent simultaneous ascending aortic repair and surgical femoro-femoral crossover bypass with immediate restoration of leg perfusion as assessed with peripheral near-infrared spectroscopy. The postoperative course was uneventful. Follow-up computed tomography demonstrated occlusion of the left external iliac artery and patent crossover bypass.

Key Words

Aortic dissection - Subclavian artery - Ischemia
 

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