Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5942391 | Annals of Vascular Surgery | 2014 | 12 Pages |
Abstract
We performed revascularization by an anti-anatomical bypass in a 40-year-old man with extended ischemia of both legs beyond 12Â hr after onset because of traumatic aortic dissection. This patient developed myonephropathic metabolic syndrome, including renal and circulatory failure accompanied by a creatine phosphokinase level above 200,000 IU/L. Nevertheless, his bilateral affected limbs were salvaged by intensive care based on aggressive hemocatharsis with continuous hemodiafiltration with treatment for poor hemodynamics and respiratory distress.
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Authors
Ichiro Kashima, Koji Tsutsumi, Masahiko Okamoto,