Temporary Extracorporeal Brachio-Femoral Vascular Prosthesis Shunt for Ischemia Prevention in an Operation for Abdominal Aortic and Iliac Aneurysms in a Patient with Marfan^|^apos;s Syndrome
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- Dregelid Einar
- Department of Vascular Surgery, Haukeland University Hospital, Bergen, Norway
書誌事項
- タイトル別名
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- Temporary Extracorporeal Brachio-Femoral Vascular Prosthesis Shunt for Ischemia Prevention in an Operation for Abdominal Aortic and Iliac Aneurysms in a Patient with Marfan's Syndrome
抄録
In open vascular repair, when prolonged infrarenal aortic clamping can be expected, and collateral perfusion is reduced, the use of a temporary shunt may reduce the risk of ischemic complications. In a patient with Marfan's syndrome and aortic dissection who had developed infrarenal aneurysms, segmental arteries had been occluded by prior aortic surgery and collateral arteries in the anterior torso could have been damaged by previous pectus excavatum, muscle flap, sternotomy, and ventral hernia operations. The axillary artery was dilated. For the prevention of ischemia during open repair with a bifurcated graft, a temporary extracorporeal brachio-femoral vascular prosthesis shunt was constructed. Ischemia was not observed. The use of a temporary extracorporeal brachio-femoral shunt with a vascular prosthesis is a feasible method for ischemia prevention.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 20 (Supplement), 801-804, 2014
Annals of Thoracic and Cardiovascular Surgery 編集委員会