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Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm : Causes behind a Mortal Outcome
Joint Authors
Daryapeyma, Alireza
Dregelid, Einar
Source
Case Reports in Vascular Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Case reports to analyze causes and possible prevention of complications in a new setting are important.
We present an open repair of a ruptured type 2 thoracoabdominal aortic aneurysm in a 78-year-old man.
Lower-body perfusion through a temporary extracorporeal axillobifemoral arterial prosthesis shunt was combined with the use of a branch to the permanent aortic prosthesis to enable rapid visceral revascularization using a visceral-anastomosis-first approach.
The patient died due to transfusion-induced capillary leak syndrome and left colon necrosis; the latter was probably caused by a combination of back-bleeding from lumbar arteries causing a steal effect, an accidental shunt obstruction, and hemodynamic instability towards the end of the operation.
The visceral-anastomosis-first approach did not contribute to the complications.
This approach reduces the time when visceral organs are perfused only via collateral arteries to the time needed for suturing the visceral anastomoses.
This may be important when collateral perfusion is marginal.
American Psychological Association (APA)
Dregelid, Einar& Daryapeyma, Alireza. 2013. Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm : Causes behind a Mortal Outcome. Case Reports in Vascular Medicine،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-513061
Modern Language Association (MLA)
Dregelid, Einar& Daryapeyma, Alireza. Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm : Causes behind a Mortal Outcome. Case Reports in Vascular Medicine No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-513061
American Medical Association (AMA)
Dregelid, Einar& Daryapeyma, Alireza. Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm : Causes behind a Mortal Outcome. Case Reports in Vascular Medicine. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-513061
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513061