Abstract
Acute arterial occlusion disease has various pathophysical states and often is associated with myonephropathic metabolic syndrome (MNMS). We carried out local perfusion by limb wash-out for an extended period in two cases of acute arterial occlusion of the lower extremities. One patient developed high aortic occlusion after an operation for a ruptured abdominal aortic aneurysm. The other patient had a right iliac arterial occlusion. The first patient died of multiple organ failure (MOF), but an improvement in postoperative condition was seen. The other patient survived. The postoperative course in these patients suggested that local perfusion by limb wash-out was effective. MNMS has many pathogenic states and phases. Local perfusion by limb wash-out may be effective for the treatment of acute arterial occlusion disease in which acidosis, hyperpotassium and myogloblinemia are present. This method may be used to improve the treatment of MNMS.
