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Updated: Jul 13, 2026
07:12
An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Peripheral vascular complications of aortic dissection
J D Hughes1, E A Bacha, T F Dodson
1Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
American Journal of Surgery
|August 1, 1995
Summary
Peripheral vascular complications from aortic dissection are uncommon. Most cases resolve after aortic repair, with few requiring peripheral revascularization procedures.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Aortic Diseases
Background:
- The management of peripheral vascular complications in aortic dissection remains unclear.
- Peripheral vascular complications can arise from spontaneous aortic dissection.
Purpose of the Study:
- To investigate the incidence and management of peripheral vascular complications in patients with spontaneous aortic dissection.
- To compare outcomes between patients with and without peripheral vascular complications.
Main Methods:
- A 5-year retrospective review of patients with spontaneous aortic dissection.
- Categorization of patients into two groups: Group A (with peripheral vascular complications) and Group B (without).
Main Results:
- Eighteen patients experienced complications affecting 38 major vessels.
- Only three patients required femorofemoral bypass for iliofemoral occlusion; one needed iliac aneurysm repair.
- Mortality rates were 17% for Group A and 9% for Group B. Most complications resolved post-aortic repair.
Conclusions:
- Peripheral revascularization is infrequently necessary for aortic dissection complications after initial repair.
- Aortic dissection management should consider potential peripheral vascular sequelae.
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