caa a22 4500 397495463 CHVBK 20180308164519.0 cr unu---uuuuu 161202e199505 xx s 000 0 eng 10.1016/S1010-7940(05)80157-5 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80157-5 Surgical strategies in managing organ malperfusion as a complication of aortic dissection [Elektronische Daten] Between December 1978 and March 1994, 48 of 312 patients who underwentsurgery for aortic dissection were diagnosed with major vascularcomplications. There were 18 patients with type A dissection and 30patients with type B. In 23 patients with acute dissection, the site ofvascular obstruction was the abdominal aorta in 12 patients,brachiocephalic artery in 7, iliac artery in 4, left common carotid arteryin 3 and thoracic aorta in 2. In 26 patients with chronic dissection, thesite of vascular obstruction was the abdominal aorta in 13 patients,brachiocephalic artery in 10, renal artery in 5, iliac artery in 4,superior mesenteric artery in 2, left common carotid artery in 2 and celiacartery in 1. Fifteen patients underwent proximal repair of the aorta duringthe acute stage, including the ascending aorta in 6 patients, fromascending aorta to arch in 7, arch to descending aorta in 1,thoracoabdominal aorta in 1, and entry closure in 1. In the acute stage,eight patients had palliative surgery, including aortic fenestration infour patients, axillo-femoral bypass in two, cross-over bypass to the iliacor femoral artery in one, bypass to superior mesenteric artery in one,bypass to the renal artery in one, and ileum resection in one. During thechronic phase, seven patients with type B dissection, who had malperfusedunilateral renal artery, underwent proximal aortic repair.(ABSTRACTTRUNCATED AT 250 WORDS) European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/5(1995-05), 242-246 1010-7940 9:5<242 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80157-5 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80157-5 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/5(1995-05), 242-246 1010-7940 9:5<242 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford