Peripheral vascular complications of aortic dissection

John D Hughes, Emile A. Bacha, Thomas F. Dodson, Tomas Martin, Robert B. Smith, Elliot L. Chaikof

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background: The incidence and management of peripheral vascular complications of aortic dissection is unsettled. Patients and methods: Peripheral vascular complications of spontaneous aortic dissection were examined in a 5-year retrospective review. Patients who had peripheral vascular complications were categorized as group A; those without as group B. Results: Thirty-eitht major vessels were affected in 18 patients. No patient underwent a peripheral vascular procedure for complications of the carotid, subclavian, celiac, mesenteric, or renal arteries. Three patients underwent femorofemoral bypass for acute iliofemoral occlusion due to dissection. A fourth patient had repair of an iliac aneurysm that developed as a complication of chronic dissection. The mortality rate was 17% for group A, 9% for group B, and 10% overall. Following repair of the aortic dissection, the majority of the peripheral vascular complications resolved. Conclusions: Peripheral revascularization is infrequently required in aortic dissection following primary dissection repair.

Original languageEnglish (US)
Pages (from-to)209-212
Number of pages4
JournalAmerican Journal of Surgery
Volume170
Issue number2
DOIs
StatePublished - 1995
Externally publishedYes

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Blood Vessels
Dissection
Iliac Aneurysm
Celiac Artery
Mesenteric Arteries
Renal Artery
Mortality
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Hughes, J. D., Bacha, E. A., Dodson, T. F., Martin, T., Smith, R. B., & Chaikof, E. L. (1995). Peripheral vascular complications of aortic dissection. American Journal of Surgery, 170(2), 209-212. https://doi.org/10.1016/S0002-9610(99)80288-8

Peripheral vascular complications of aortic dissection. / Hughes, John D; Bacha, Emile A.; Dodson, Thomas F.; Martin, Tomas; Smith, Robert B.; Chaikof, Elliot L.

In: American Journal of Surgery, Vol. 170, No. 2, 1995, p. 209-212.

Research output: Contribution to journalArticle

Hughes, JD, Bacha, EA, Dodson, TF, Martin, T, Smith, RB & Chaikof, EL 1995, 'Peripheral vascular complications of aortic dissection', American Journal of Surgery, vol. 170, no. 2, pp. 209-212. https://doi.org/10.1016/S0002-9610(99)80288-8
Hughes, John D ; Bacha, Emile A. ; Dodson, Thomas F. ; Martin, Tomas ; Smith, Robert B. ; Chaikof, Elliot L. / Peripheral vascular complications of aortic dissection. In: American Journal of Surgery. 1995 ; Vol. 170, No. 2. pp. 209-212.
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