Simultaneous relief of acute visceral and limb ischemia in complicated type B aortic dissection by axillobifemoral bypass Kyung Hwa Kim, MD, PhD, Jong.

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Presentation transcript:

Simultaneous relief of acute visceral and limb ischemia in complicated type B aortic dissection by axillobifemoral bypass Kyung Hwa Kim, MD, PhD, Jong Bum Choi, MD, PhD, Ja Hong Kuh, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages 524-525 (January 2014) DOI: 10.1016/j.jtcvs.2013.06.041 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Contrast-enhanced computed tomography shows acute type B dissection (white arrow), originating distal to the left subclavian artery and extending only to the mid descending thoracic aorta. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 524-525DOI: (10.1016/j.jtcvs.2013.06.041) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Urgent computed tomography shows the progression of acute type B aortic dissection, extending from the distal aortic arch to the bilateral external iliac arteries, and reveals the stenosis of superior mesenteric artery (white arrow) and disappearance of flow in the right common iliac artery (red arrow). The Journal of Thoracic and Cardiovascular Surgery 2014 147, 524-525DOI: (10.1016/j.jtcvs.2013.06.041) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Follow-up computed tomography 12 months later shows the restoration of blood flow to the right iliac (white arrow) and mesenteric (red arrow) arteries with a patent vascular graft (blue arrow). The Journal of Thoracic and Cardiovascular Surgery 2014 147, 524-525DOI: (10.1016/j.jtcvs.2013.06.041) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions