Doppler ultrasound diagnosis of transient leg malperfusion caused by dynamic obstruction in a patient with chronic aortic dissection

Leg malperfusion caused by dynamic obstruction is a serious complication of aortic dissection. A diagnosis of the malperfusion is difficult because it is made mainly on the basis of nonspecific symptoms such as intermittent claudication and numbness on walking. In the present study, we reported on a...

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Detalles Bibliográficos
Autores principales: Yoshimuta, Tsuyoshi, Tsuneto, Akira, Okajima, Toshiya, Tanaka, Hiroshi, Minami, Takako, Yamagishi, Masakazu, Ikeda, Satoshi, Kawano, Hiroaki, Maemura, Koji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
CASE REPORTS Section Editor ‐ Brian D. Hoit, MD
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587712/
https://www.ncbi.nlm.nih.gov/pubmed/30506605
http://dx.doi.org/10.1111/echo.14198
Descripción
Sumario:Leg malperfusion caused by dynamic obstruction is a serious complication of aortic dissection. A diagnosis of the malperfusion is difficult because it is made mainly on the basis of nonspecific symptoms such as intermittent claudication and numbness on walking. In the present study, we reported on a case of a 51‐year‐old man with leg malperfusion in chronic aortic dissection diagnosed by Doppler ultrasound. The combination of bisferious and dampened velocity waveform changes after walking may lead us to suspect a leg malperfusion caused by dynamic obstruction.

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