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Abstract
This paper discusses the use of a Dacron bifurcation bypass graft, extending from
the distal descending thoracic aorta to the common femoral arteries, for the treatment
of high arteriosclerotic aortoiliac occlusive disease. The operative procedure is
performed with the use of a left thoracoabdominal incision and bilateral groin incisions.
The authors' experience with three cases indicates that thoracic aorta-to-femoral
arteries bypass grafting is a suitable procedure for treating good-risk patients with
disabling claudication but without rest pain or signs of impending gangrene. The main
advantages of the bypass procedure are: (1) the technical ease of suturing a graft
proximally to the descending thoracic aorta, which is seldom significantly arteriosclerotic,
(2) the avoidance of potential postoperative renal complications which may follow
endarterectomy of the proximal infrarenal aorta, and (3) the obviation of the necessity
of hazardous dissection of a scarred aorta in patients who have undergone previous
aortic surgery.
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References
- Axillofemoral artery bypass for lower extremity ischemia.Surgery. 1963; 54: 563
- Surgical treatment of high aortoiliac occlusion.Surgery. 1969; 65: 757
- Basic concepts of therapy in arterial disease.Bull. N. Y. Acad. Med. 1963; 39: 707
- The late results of axillofemoral grafts.Surgery. 1970; 68: 1038
- The durability of aortoiliac endarterectomy.Arch. Surg. 1964; 89: 827
Article info
Publication history
Accepted:
April 24,
1972
Identification
Copyright
© 1972 Published by Elsevier Inc.
