Montuy-Vidal MA, Rodríguez-Trejo JM, Sulvarán-Aguilar A, Mendoza-Cortés A, Flores-Padilla CM, Enríquez-Chena EA

Idioma: Español
Referencias bibliográficas: 34
Paginas: 31-36
Archivo PDF: 141.33 Kb.

RESUMEN

Cuando la aorta abdominal no es un sitio con flujo adecuado o es técnicamente inaccesible para derivar el flujo a las extremidades inferiores por representar un alto riesgo secundario a múltiples situaciones complejas, se justifica el recurso de las derivaciones extraanatómicas en pacientes apropiadamente seleccionados con resultados de baja morbilidad y mortalidad, mejor calidad de vida y menores costos en comparación con la amputación de extremidades inferiores. Presentamos el caso de un paciente sometido a derivación aorta torácica descendente bifemoral (DATDB) como una alternativa satisfactoria de manejo diferente a las derivaciones extraanatómicas convencionales utilizadas en nuestro medio, con mayor permeabilidad reportada por tener flujo directo de la aorta y sin incremento de la morbilidad y de la mortalidad.

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