Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm: Causes behind a Mortal Outcome
The diagram shows probable causalities of the outcome of the case. The axillobifemoral bypass increases visceral perfusion and retrograde bleeding from lumbar and intercostal branch ostia. Prevention of retrograde bleeding increases visceral perfusion further. Hence insufficient prevention of retrograde bleeding contributes to colon necrosis.