Thoracic endovascular aneurysm repair to treat recurrent lower limb ischemia secondary to occlusion of axillofemoral bypass.

Abstract

INTRODUCTION:

A case of malperfusion in which the patient presented with aortic dissection is presented.

PRESENTATION OF CASE:

A 69-year-old man with an acute aortic dissection (Stanford type B) had lower limb ischemia. Axillary-femoral bypass was performed, and his lower limb ischemia improved. Eight months after the onset of acute aortic dissection, he again had lower limb ischemia. Contrast-enhanced computed tomography showed axillary-femoral bypass occlusion and true lumen collapse, compressed by the increased false lumen pressure in the aorta. Thoracic endovascular aortic repair (TEVAR) was performed for entry closure. His lower limb ischemia was improved by TEVAR.

DISCUSSION:

One of the complications of type B aortic dissection is malperfusion. Endovascular therapy is a first step in treating the malperfusion of type B aortic dissection. It is important to seal the entry for the treatment of malperfusion.

CONCLUSION:

If there is an entry, it is important to seal it for the treatment of malperfusion.

• Authors: Mototsugu Tamaki, Hideki Kitamura, Yutaka Koyama, Koshi Sawada, Yasuhiko Kawaguchi, Takahiro Tokuda, Yasuhide Okawa, Kazuya Konakano
• Journal: International journal of surgery case reports (Int J Surg Case Rep) Vol. 68 Pg. 190-192 ( 2020) ISSN: 2210-2612 [Print] Netherlands
• PMID: 32182580 (Publication Type: Case Reports)
• Copyright: Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.