Original communication| Volume 72, ISSUE 5, P749-755, November 1972

Bypass grafting from the thoracic aorta to femoral arteries for high aortoiliac occlusive disease

      This paper is only available as a PDF. To read, Please Download here.


      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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Blaisdell F.W.
        • Hall A.D.
        Axillofemoral artery bypass for lower extremity ischemia.
        Surgery. 1963; 54: 563
        • Chavez C.M.
        • Conn J.H.
        • Fain W.R.
        • Gee H.L.
        Surgical treatment of high aortoiliac occlusion.
        Surgery. 1969; 65: 757
        • De Bakey M.E.
        Basic concepts of therapy in arterial disease.
        Bull. N. Y. Acad. Med. 1963; 39: 707
        • Mannick J.A.
        • Williams L.E.
        • Nabseth D.C.
        The late results of axillofemoral grafts.
        Surgery. 1970; 68: 1038
        • Szilagyi D.E.
        • Smith R.F.
        • Whitney D.G.
        The durability of aortoiliac endarterectomy.
        Arch. Surg. 1964; 89: 827