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Visceral Ischemia Caused by Extra-Anatomical Bypass for Coral Reef Aorta

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DOI: 10.4236/wjcs.2015.57012    3,810 Downloads   4,155 Views   Citations

ABSTRACT

A 72-year-old woman was presented with intermittent claudication of bilateral lower extremities, refractory hypertension, and mild renal impairment. Computed tomographic angiography showed severe aortic stenosis caused by calcifications protruding into the aortic lumen proximal and distal to the visceral and renal branches, so-called coral reef aorta. An axillo-iliac bypass was performed. Postoperatively, the patient developed ileus and acute renal failure, presumably caused by a steal phenomenon to the lower extremities. Endovascular stenting of the aorta increased forward blood flow and dramatically improved the patient’s condition. This case study illustrates potential hemodynamic complications after extra-anatomical axillo-iliac bypass for coral reef aorta.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Kawabori, M. (2015) Visceral Ischemia Caused by Extra-Anatomical Bypass for Coral Reef Aorta. World Journal of Cardiovascular Surgery, 5, 70-73. doi: 10.4236/wjcs.2015.57012.

References

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