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 Scopus citations

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
JournalThe American Journal of Surgery
Volume170
Issue number2
DOIs
StatePublished - Aug 1995

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Peripheral vascular complications of aortic dissection'. Together they form a unique fingerprint.

  • 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. The American Journal of Surgery, 170(2), 209-212. https://doi.org/10.1016/S0002-9610(99)80288-8