Peripheral vascular complications of aortic dissection - 12/09/11
Abstract |
Background: The incidence and management of peripheral vascular complications of aortic dissection is unsettled.
Patients and methods: Peripheral vascular complications of spontaneous aortic dissection were examined in a 5-year retrospective review. Patients who had peripheral vascular complications were categorized as group A; those without as group B.
Results: Thirty-eitht major vessels were affected in 18 patients. No patient underwent a peripheral vascular procedure for complications of the carotid, subclavian, celiac, mesenteric, or renal arteries. Three patients underwent femorofemoral bypass for acute iliofemoral occlusion due to dissection. A fourth patient had repair of an iliac aneurysm that developed as a complication of chronic dissection. The mortality rate was 17% for group A, 9% for group B, and 10% overall. Following repair of the aortic dissection, the majority of the peripheral vascular complications resolved.
Conclusions: Peripheral revascularization is infrequently required in aortic dissection following primary dissection repair.
Le texte complet de cet article est disponible en PDF. | Presented at the 23rd Annual Meeting of The Society for Clinical Vascular Surgery, Fort Lauderdale, Florida, March 22–26, 1995. |
Vol 170 - N° 2
P. 209-212 - août 1995 Retour au numéro
Article précédent
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