The Experts below are selected from a list of 1035 Experts worldwide ranked by ideXlab platform
Yoshio Sudo - One of the best experts on this subject based on the ideXlab platform.
-
A case of fistula of the right common iliac aneurysm to the appendix.
Annals of Vascular Surgery, 2002Co-Authors: Kaoru Matsuura, Yoshiharu Takahara, Yoshio Sudo, Keiichi Ishida, Nobuyuki NakajimaAbstract:We report a very rare case of spontaneous ilioappendicial fistula with right common iliac aneurysm. After the aneurysm was opened, afferent and efferent vessels were closed following extraanatomical Femorofemoral Bypass, and the appendectomy was performed. The wall of the aneurysm showed the atherosclerotic change and histologic study of the appendix confirmed the diagnosis of acute appendicitis. Enhanced computed tomography was useful for the diagnosis and the extraanatomical Bypass was deemed the most effective operative strategy. The pathogenesis of the fistula was surmised to be related to the appendicitis.
-
Acute type a aortic dissection with leg ischemia
The Japanese Journal of Thoracic and Cardiovascular Surgery, 1998Co-Authors: Tooru Sunazawa, Yoshiharu Takahara, Yoshio SudoAbstract:The incidence of lower extremity ischemia secondary to acute aortic dissection is relatively low, however, the presenting symptoms are variable in term of severity. We report here in two cases of such circumstances who were successively differently treated. Case one was a 60 years old male presented with severe left leg pain. Even after the initiation of cardiopulmonary Bypass, the leg ischemia did not improve, therefore selective leg perfusion was additionally performed through direct left femoral artery cannulation. The surgery toward dissection was completed by mean of simultaneous graft replacement of ascending aorta and aortic arch. The leg ischemia after the aortic procedure however had persisted, Femorofemoral Bypass was created to relieve the mal-perfusion. Case two was a 37 years old male admitted with severe left leg pain associated with sensory-motor nerve dysfunction with muscle rigidity. In this particular patient, Femorofemoral Bypass was firstly reconstructed as the mean of leg salvage procedure. After we learned there was no serious reperfusion symptom manifested, we performed radical surgery toward the aorta. We believe that the decision making of surgical treatment for acute type A dissection complicated with the presence of lower extremity ischemia is based on the severeness of mal-perfusion.
Jun Ho Bae - One of the best experts on this subject based on the ideXlab platform.
-
Percutaneous Transluminal Angioplasty of Contralateral Iliac and Superficial Femoral Arteries via Graft Vessel in a Patient with Femorofemoral Bypass Graft
Korean Circulation Journal, 2013Co-Authors: Jin Wook Chung, Deuk Young Nah, Jun Ho BaeAbstract:Peripheral arterial disease represents a significant problem, particularly among the elderly population. There has been great progress made in the treatment of peripheral arterial disease in recent years. Percutaneous transluminal angioplasty (PTA) has been employed as a method of treatment for patients with a variety of peripheral arterial disease. We report our experience with PTA of contralateral common iliac and superficial femoral arteries via graft vessel in a patient with Femorofemoral Bypass due to ipsilateral iliac artery occlusion.
Eric E. Roselli - One of the best experts on this subject based on the ideXlab platform.
-
A strategy for safe sternal reentry in patients with pseudoaneurysms of the ascending aorta using the PORT-ACCESS EndoCPB system.
Interactive CardioVascular and Thoracic Surgery, 2009Co-Authors: Karl G. Reyes, Gösta B. Pettersson, Tomislav Mihaljevic, Eric E. RoselliAbstract:Pseudoaneurysms of the ascending aorta developing after previous aortic or aortic valve surgery pose a high risk of exsanguination upon sternal reentry. In the past, Femorofemoral Bypass and hypothermic circulatory arrest before sternotomy was the preferred approach. Today, however, availability of the PORT-ACCESS EndoCPB system (Edwards Lifesciences, Irvine, CA, USA) allows for endovascular clamping and cardioplegia before sternotomy, avoiding circulatory arrest.
-
Case report - Cardiac general A strategy for safe sternal reentry in patients with pseudoaneurysms of the ascending aorta using the PORT-ACCESS EndoCPB system
2009Co-Authors: Karl G. Reyes, Tomislav Mihaljevic, Gosta Pettersson, Eric E. RoselliAbstract:Pseudoaneurysms of the ascending aorta developing after previous aortic or aortic valve surgery pose a high risk of exsanguination upon sternal reentry. In the past, Femorofemoral Bypass and hypothermic circulatory arrest before sternotomy was the preferred approach. Today, however, availability of the PORT-ACCESS EndoCPB system (Edwards Lifesciences, Irvine, CA, USA) allows for endovascular clamping and cardioplegia before sternotomy, avoiding circulatory arrest. 2009 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Xiang-tao Zheng - One of the best experts on this subject based on the ideXlab platform.
-
Femorofemoral Bypass allowed limb preservation after late diagnosis of left common iliac artery thrombosis due to blunt trauma: A case report.
SAGE Open Medical Case Reports, 2015Co-Authors: Kai Chen, Jing-yong Huang, Lu Wang, Xiang-tao ZhengAbstract:Objective:Acute common iliac artery occlusion which results from blunt abdominal trauma is rare and potentially leads to a late diagnosis.Methods:We report a case of a 58-year-old patient who suffered a late diagnosed acute left common iliac artery occlusion secondary to abdominal trauma. An emergency exploratory laparotomy was performed to stop intra-abdominal bleeding, while his left limb ischemia was not noticed until 32 h later and Femorofemoral Bypass was then successfully performed for revascularization. Compartment syndrome was observed postoperatively, and fasciotomy was performed promptly. The wound was temporarily covered with Vaccum Sealing Drainage due to high skin tension. Patient underwent skin-grafting after leg swelling subsided.Results:The follow-up turned out that these managements were valid in the preservation of the limb viability.Conclusions:This case highlights the prudent recognition of the acute lower extremity ischemia in the abdominal trauma and immediate remedy for acute iliac ...
-
Femorofemoral Bypass allowed limb preservation after late diagnosis of left common iliac artery thrombosis due to blunt trauma: A case report
SAGE Publishing, 2015Co-Authors: Kai Chen, Jing-yong Huang, Lu Wang, Xiang-tao ZhengAbstract:Objective: Acute common iliac artery occlusion which results from blunt abdominal trauma is rare and potentially leads to a late diagnosis. Methods: We report a case of a 58-year-old patient who suffered a late diagnosed acute left common iliac artery occlusion secondary to abdominal trauma. An emergency exploratory laparotomy was performed to stop intra-abdominal bleeding, while his left limb ischemia was not noticed until 32 h later and Femorofemoral Bypass was then successfully performed for revascularization. Compartment syndrome was observed postoperatively, and fasciotomy was performed promptly. The wound was temporarily covered with Vaccum Sealing Drainage due to high skin tension. Patient underwent skin-grafting after leg swelling subsided. Results: The follow-up turned out that these managements were valid in the preservation of the limb viability. Conclusions: This case highlights the prudent recognition of the acute lower extremity ischemia in the abdominal trauma and immediate remedy for acute iliac artery occlusion after a late diagnosis
Jinichi Iwase - One of the best experts on this subject based on the ideXlab platform.
-
Mitral valve replacement via right thoracotomy after coronary arterial grafting
The Annals of Thoracic Surgery, 1995Co-Authors: Akihiko Usui, Mitsuo Kawamura, Michiaki Hibi, Katsuhiko Yoshida, Fumihiko Murakami, Jinichi IwaseAbstract:Mitral valve replacement was performed through a right thoracotomy using Femorofemoral Bypass under profound systemic hypothermia in a 62-year-old man who had undergone coronary artery Bypass grafting using both internal thoracic arteries. The right thoracotomy approach minimizes the risk of injury to the arterial grafts, and deep hypothermia obviates the need to interrupt the grafts to administer cardioplegia. This technique provides excellent exposure of the mitral valve while minimizing the operative risk.
