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KMID : 0364019950280030332
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 3 p.332 ~ p.334
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Lover Extremity Ischemia in Aortic Dissection
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박현
구본일/오상준/이홍섭/김창호
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Abstract
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Two hypertensive men with DeBakey type Ⅲ dissection were admitted due to acute onset of leg ischemia. One patient had ischemia of both legs, the other patient had ischemia of the right leg. Angiograms showed occlusion of aortic bifurcation in
one
patient and occlusion of right common iliac artery and right renal artery in the other patient. The first patient who had ischemia of both legs was relieved by axillo-bifemoral bypass operation and the second patient with right leg ischemia by
femoro-femoral bypass. The dissection of the aorta was successfully managed by consertive measures including hypotensive medication. The bypass grafts were functioning well one year later. The aortic dissection should not be overlooded as an
etilogy of
acute onset of ischemia of the lower extremities.
(Korean J Thorac Cardiovasc Surg 1995;28:332-4)
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