Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection
A 74-year-old man who had been receiving antibiotic treatment for meningitis was transferred to our hospital because of a sudden decrease in lower limb blood pressure. Computed tomography revealed a type B aortic dissection with obstruction of the abdominal aorta. Furthermore, transesophageal echoca...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872200106X |
| _version_ | 1798000360846000128 |
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| author | Takanori Tsujimoto, MD Masamichi Matsumori, MD, PhD Katsuhiro Yamanaka, MD, PhD Kenji Okada, MD, PhD |
| author_facet | Takanori Tsujimoto, MD Masamichi Matsumori, MD, PhD Katsuhiro Yamanaka, MD, PhD Kenji Okada, MD, PhD |
| author_sort | Takanori Tsujimoto, MD |
| collection | DOAJ |
| description | A 74-year-old man who had been receiving antibiotic treatment for meningitis was transferred to our hospital because of a sudden decrease in lower limb blood pressure. Computed tomography revealed a type B aortic dissection with obstruction of the abdominal aorta. Furthermore, transesophageal echocardiography revealed a large vegetation on the proximal entry tear of the descending aorta. We performed successful emergency descending and abdominal aorta replacement, which prevented complications from intraoperative organ malperfusion. In the present report, we have described an effective treatment for lower limb malperfusion complicated by a combination of chronic aortic dissection and bacteremia. |
| first_indexed | 2024-04-11T11:19:00Z |
| format | Article |
| id | doaj.art-0c449310af5c4fb8b4be6d4cc6ec7aef |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-11T11:19:00Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-0c449310af5c4fb8b4be6d4cc6ec7aef2022-12-22T04:27:07ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-09-0183510513Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissectionTakanori Tsujimoto, MD0Masamichi Matsumori, MD, PhD1Katsuhiro Yamanaka, MD, PhD2Kenji Okada, MD, PhD3Correspondence: Takanori Tsujimoto, MD, Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan; Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, JapanDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, JapanDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, JapanDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, JapanA 74-year-old man who had been receiving antibiotic treatment for meningitis was transferred to our hospital because of a sudden decrease in lower limb blood pressure. Computed tomography revealed a type B aortic dissection with obstruction of the abdominal aorta. Furthermore, transesophageal echocardiography revealed a large vegetation on the proximal entry tear of the descending aorta. We performed successful emergency descending and abdominal aorta replacement, which prevented complications from intraoperative organ malperfusion. In the present report, we have described an effective treatment for lower limb malperfusion complicated by a combination of chronic aortic dissection and bacteremia.http://www.sciencedirect.com/science/article/pii/S246842872200106XLower limb malperfusionProximal entry tearTransesophageal echocardiographyType B aortic dissectionVegetation |
| spellingShingle | Takanori Tsujimoto, MD Masamichi Matsumori, MD, PhD Katsuhiro Yamanaka, MD, PhD Kenji Okada, MD, PhD Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection Journal of Vascular Surgery Cases and Innovative Techniques Lower limb malperfusion Proximal entry tear Transesophageal echocardiography Type B aortic dissection Vegetation |
| title | Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection |
| title_full | Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection |
| title_fullStr | Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection |
| title_full_unstemmed | Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection |
| title_short | Acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type B aortic dissection |
| title_sort | acute lower limb malperfusion triggered by a large vegetation located on the proximal entry tear of chronic type b aortic dissection |
| topic | Lower limb malperfusion Proximal entry tear Transesophageal echocardiography Type B aortic dissection Vegetation |
| url | http://www.sciencedirect.com/science/article/pii/S246842872200106X |
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