Surgical treatment of aortic dissection with lower extremity ischemia

Objective To explore the clinical outcome of the surgical treatment for aortic dissection with lower extremity ischemia. Methods Between March 2009 and April 2013, 14 patients with type A aortic dissection and lower extremity ischemia underwent Sun′s procedure in Beijing Anzhen Hospital. Ascending aorta-iliac artery bypass, ascending aorta-femoral artery bypass, femoral-femoral artery bypass and axillary -femoral artery bypass were performed on some severe patients at the same time. Results Two death occurred, and the others were improved or recovered from symptoms. Follow-up was complete with an average time of 24 months and no aortic relevant complications occurred. Conclusion As for patients with type A aortic dissection and lower extremity ischemia, simultaneous radical femoral artery bypass procedure is effective in improving their survival rate and quality of life. Key words: Aneurysm, dissecting; Aortic aneurysm; Arterial occlusive diseases; Lower extremity ischemia; Sun′s procedure