American journal of surgery · 1995
Peripheral vascular complications of aortic dissection.
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Hughes J D, Bacha E A, Dodson T F, Martin T, Smith R B, Chaikof E L
Аннотация
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-eight 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.
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-eight 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.