Right axillary arterial perfusion for a ruptured type B aortic dissection: Report of a case |
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Authors: | Tomoe Katoh Hidenori Gohra Kimikazu Hamano Hiroshi Noda Yoshihiko Fujimura Nobuya Zempo Kensuke Esato |
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Institution: | (1) First Department of Surgery, Yamaguchi University School of Medicine, 1144 Kogushi, 755-8505 Ube, Japan |
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Abstract: | The results of surgical treatment for a ruptured type B aortic dissection remain far from satisfactory. It is believed that
additional perfusion from the right axillary artery might be more beneficial than perfusion from only the femoral artery during
surgery for a ruptured thoracic aneurysm. The right axillary perfusion is more likely to perfuse the vital organs proximal
to the ruptured area, and thus avoid retrograde emboli. In addition, if the open proximal method is performed, then the right
axillary perfusion is able to facilitate the evacuation of air from the aortic lumen. We present herein the case of a patient
in whom a ruptured type B acute aortic dissection was successfully treated by applying right axillary perfusion through a
left thoracotomy. |
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Keywords: | ruptured type B aortic dissection right axillary perfusion |
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