|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 篇名 |
Hypoplastic Aortoiliac Syndrome in the Arseniasis Area (Southwestern Coast) of Taiwan |
| 作者 |
Wen-Hsien Hsu, Ching-Long Lee, Robert J Chen |
| 卷期/出版年月 |
40卷6期 (2007/12) |
| 頁次 |
243-248 |
| 摘要 |
Objective: The hypoplastic aortoiliac syndrome (HAIS) has been well documented in the literature and it is unusually found in the population of atheroslerosis with aortoiliac occlusive disease. In the arseniasis area, so-called Blackfoot Disease (BFD)endemic area in the southwestern coast of Taiwan, we encountered HAIS patients in whom the patho-etiology was not been clear, but the surgical revascularization for limb salvage was feasible.
Methods: From Jan. 2001 through Jan. 2007, 8 cases of HAIS were recognized
among 288 patients in the BFD endemic area. The image study showed hypoplasia of the infrarenal aorta and iliofemoral system with mild to moderate degree of
atherosclerotic change in the distal runoff. Clinically, all patients presented with severe intermittent hip or thigh claudication associated with ischemic changes of the foot or toes. The area ratio of the sum of cross-sectional areas of common iliac arteries/cross-sectional area of aorta above the bifurcation ranged between 0.39 and 0.7 (normal range 0.78 to 1.2).
Results: Of the 8 HAIS patients, 1 patient underwent an aorto-bifemoral bypass
with lumbar sympathectomy (LS), 2 received an aorto-unifemoral bypasses with LS, 1 had an iliofemoral bypass with LS, 3 had profundaplasty with LS, and the
remaining one had a unilateral thoracic sympathectomy for finger ischemia and
constant poikilothermia of both hands, but declined vascular reconstruction. There was no operative or perioperative mortality. The operative complications included minor wound infection, wound hematoma, paralytic ileus, and atelectasis. The preexistent pregangrenous toes needed amputation in the post-operative days when demarcation became clear.
Conclusions: The hypoplastic aortoiliac syndrome (HAIS) associated with ischemia of toes should be treated as aortoiliac occlusive disease without delay. We believe the bypass grafting through a retroperitoneal approach with adjunct lumbar sympathectomy is the treatment of choice if patients’ general condition permits. |
| 關鍵詞 |
hypoplastic aortoiliac syndrome (HAIS), arseniasis area of Taiwan, intermittent claudication, area ratio, lumbar sympathectomy, aortofemoral bypass, profundaplasty |
| 分類 |
Original Article |
|
