Descending Thoracic Aortobifemoral Bypass for Aortoiliac Occlusive Disease

Author:

Ihaya Akio1,Chiba Yukio1,Kimura Tetsuya1,Morioka Koichi1,Uesaka Takahiko1

Affiliation:

1. Second Department of Surgery Fukui Medical University Hospital Fukui, Japan

Abstract

Descending thoracic aortobifemoral bypass was evaluated in 3 patients with Leriche's syndrome and 1 with severe arteriosclerosis obliterans. Indications for this approach were lack of a suitable site for aortic clamping in 3 and history of laparotomy in 1. Duration of surgery was 4.5 to 5.25 hours, and blood loss was 450 to 1,900 g. There was no surgical mortality. Major morbidity comprised visceral arterial ischemia postoperatively in 1 patient. During a mean follow-up of 60 months (range, 36 to 84 months), 2 limbs of the grafts became occluded. No patient developed proximal propagation of an aortic thrombus. This approach is recommended in selected patients without impaired pulmonary function, when conventional approaches to the abdominal aorta are considered hazardous.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis;Journal of Vascular Surgery Cases, Innovations and Techniques;2022-06

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