Femorofemoral crossover bypass is a surgical arterial revascularization modality which is commonly performed for unilateral aortoiliac occlusive disease. It is primarily applied to patients with intermittent claudication or critical limb ischemia in whom underlying anatomic constraints rule out endovascular means of restoring in-line flow and those who do not qualify for anatomic reconstruction due to the comorbid conditions that preclude a more invasive open surgical approach. This surgical procedure may be also used as a complementary component of endovascular repair of abdominal aortic aneurysms when one aortoiliac arterial system is occluded to ensure exclusion of the aortic aneurysm. This review represents the current status of femorofemoral crossover bypass surgery as an extra-anatomic bypass procedure.
We present a ease diagnosed as massive pulmonary embolism in whom a snake-like thrombus was found in the right heart by transthoracic eehoeardiography, which is a basic but important diagnostic tool for rapid differential diagnosis. It is non-invasive and relatively eheap and ean eliminate the neeessity for complex and expensive diagnostie tools that are also inconvenient for these type patients who are hypotensive, cyanotie and eonfused. Pulmonary embolism is a life-threatening eondition. 2/3 of the PTE eases are misdiagnosed. Some highly sensitive symptoms of massive pulmonary thromboemboli (PTE) like dyspnea, hypotension, angina peetoris and syneope have low speeificity for PTE, though sometimes these patients are misdiagnosed or diagnosed late causing a delay in instituting the appropiate therapy. Transthoracic echocardiography is also useful for the differential diagnosis to eliminate the other causes whieh ean trigger the similar symptoms. (JAEM 2013; 12:98-100)
Objective: Left ventricle dysfunction is an important determinant that effects hospital mortality. At the same time, the surgery of these patients is also highly risky. In this study we aimed to evaluate the clinical outcomes of onpump or off-pump revascularizations in patients with low ejection fraction.
Methods:One hundred and twenty-nine patients who have ≤ 40% ejection fraction (EF) was scanned retrospectively. Various variables were (preoperative, intraoperative, postoperative) were compared. It was evaluated that whether patients gets preoperative, intraoperative, postoperative support or not.
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