{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T20:25:59Z","timestamp":1768076759283,"version":"3.49.0"},"reference-count":8,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Acute aortic dissection can be complicated by malperfusion syndromes, including ischemia of the lower limbs. In some cases, delayed correction of leg ischemia leads to reperfusion injury, potentially resulting in renal failure. We describe the case of a 64-year-old woman who presented with acute aortic dissection manifesting itself as lower-limb ischemia. During and after aortic surgery with cardiopulmonary bypass, the patient developed myonephropathic metabolic syndrome. Hyperkalemia was corrected and acute kidney injury was prevented by infusing large volumes of intravenous fluids and administering human atrial natriuretic peptide. Peripheral bypass surgery was unnecessary. This case suggests that restoring blood flow to an ischemic leg by means of adjunctive perfusion during aortic repair with cardiopulmonary bypass is a viable way to overcome the biochemical instability associated with prolonged ischemia, especially hyperkalemia in the early phase of reperfusion.<\/jats:p>","DOI":"10.14503\/thij-16-6139","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T17:19:06Z","timestamp":1559668746000},"page":"130-132","source":"Crossref","is-referenced-by-count":1,"title":["Adjunctive Ischemic Lower-Limb Perfusion during Aortic Repair with Cardiopulmonary Bypass Prevents Fatal Reperfusion Injury"],"prefix":"10.14503","volume":"46","author":[{"given":"Kazuhiro","family":"Kurisu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Mitsuo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutaka","family":"Ueno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-46-2-130-b1","series-title":"J Thorac Cardiovasc Surg","first-page":"112","article-title":"Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience","volume":"129","year":"2005","unstructured":"Trimarchi\n              S\n            , NienaberCA, RampoldiV, MyrmelT, SuzukiT, MehtaRH, \n          et al. Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg2005;129(1):112\u201322."},{"issue":"4","key":"i1526-6702-46-2-130-b2","series-title":"J Vasc Surg","first-page":"1023","article-title":"Management of limb ischemia in acute proximal aortic dissection","volume":"57","year":"2013","unstructured":"Charlton-Ouw\n              KM\n            , SritharanK, LeakeSS, SandhuHK, MillerCC, AzizzadehA, \n          et al. Management of limb ischemia in acute proximal aortic dissection. J Vasc Surg2013;57(4):1023\u20139."},{"issue":"4","key":"i1526-6702-46-2-130-b3","series-title":"Ann Thorac Surg","first-page":"1333","article-title":"New treatment with human atrial natriuretic peptide for postoperative myonephropathic metabolic syndrome","volume":"88","year":"2009","unstructured":"Sezai\n              A\n            , HataM, NiinoT, YoshitakeI, UnosawaS, UmezawaH, MinamiK.\n          New treatment with human atrial natriuretic peptide for postoperative myonephropathic metabolic syndrome. Ann Thorac Surg2009;88(4):1333\u20135."},{"issue":"6","key":"i1526-6702-46-2-130-b4","series-title":"Kyobu Geka","first-page":"489","article-title":"Leg amputation for severe lower limb ischemia caused by type A acute aortic dissection: report of a case [in Japanese]","volume":"67","year":"2014","unstructured":"Watanabe\n              S\n            , MinagawaT, FujiwaraH, KandaK, MiuraM, TabayashiK.\n          Leg amputation for severe lower limb ischemia caused by type A acute aortic dissection: report of a case [in Japanese]. Kyobu Geka2014;67(6):489\u201392."},{"issue":"1","key":"i1526-6702-46-2-130-b5","series-title":"Ann Thorac Surg","first-page":"307","article-title":"Concomitant femoro-femoral bypass graft during surgery for acute type A dissection to treat lower limb malperfusion","volume":"99","year":"2015","unstructured":"Gottardi\n              R\n            , ResetarM, BacherB, FreilibsE, TaheriN, SteindlJ, \n          et al. Concomitant femoro-femoral bypass graft during surgery for acute type A dissection to treat lower limb malperfusion. Ann Thorac Surg2015;99(1):307\u20139."},{"issue":"4","key":"i1526-6702-46-2-130-b6","series-title":"J Card Surg","first-page":"397","article-title":"Extra-anatomic aorto-femoral graft for acute limb ischemia after type A aortic dissection repair","volume":"26","year":"2011","unstructured":"Vohra\n              HA\n            , MoorjaniN, ArmstrongLA, OhriSK.\n          Extra-anatomic aorto-femoral graft for acute limb ischemia after type A aortic dissection repair. J Card Surg2011;26(4):397\u20139."},{"issue":"5","key":"i1526-6702-46-2-130-b7","series-title":"Eur J Vasc Endovasc Surg","first-page":"563","article-title":"A rare case of type A aortic dissection presenting as acute lower limb ischaemia","volume":"27","year":"2004","unstructured":"Afnan\n              J\n            , ShipoliniA, KyriakidesC.\n          A rare case of type A aortic dissection presenting as acute lower limb ischaemia. Eur J Vasc Endovasc Surg2004;27(5):563\u20134."},{"issue":"2","key":"i1526-6702-46-2-130-b8","series-title":"Asian Cardiovasc Thorac Ann","first-page":"145","article-title":"Bilateral axillary arterial perfusion in surgery on thoracic aorta","volume":"14","year":"2006","unstructured":"Kurisu\n              K\n            , OchiaiY, HisaharaM, TanakaK, OnzukaT, TominagaR.\n          Bilateral axillary arterial perfusion in surgery on thoracic aorta. Asian Cardiovasc Thorac Ann2006;14(2):145\u20139."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/46\/2\/article-p130.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/46\/2\/130\/2445374\/thij-16-6139.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/46\/2\/article-p130.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/46\/2\/article-p130.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:36:19Z","timestamp":1730993779000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/46\/2\/article-p130.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":8,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.14503\/thij-16-6139","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}