An Extra-anatomic Bypass for Stanford Type B Acute Aortic Dissection Associated with Acute Renal Failure

Abstract

A 45-year-old male developed sudden-onset chest pain. Computed tomography revealed a Stanford type B acute aortic dissection with infarction of two-thirds of the left kidney. Initially, conservative pharmacotherapy was started. However, on the 14^th day, the serum creatinine level increased (5.8 mg/dL), and right lower extremity ischemia due to the compression of the true lumen occurred. An axillo-femoral bypass was performed. After surgery there was no renal dysfunction or lower limb ischemia. An axillo-femoral bypass is one treatment option that improves organ ischemia caused by the compression of the true lumen.