In the patient who can withstand the added physiologic stress of descending thoracic aortic clamping, thoracofemoral bypass may have the advantages of longer durability and increased perfusion when compared with axillobifemoral bypass. Using thorascopic techniques and a robot to perform the anastomosis, this procedure may be performed in a less invasive manner.
Upchurch GR, Henke PKClinical Scenarios in Vascular Surgery. 1st ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.
2.
Stevenson JK , Sauvage LR, Harkins HNA bypass homograft from thoracic aorta to femoral arteries for occlusive vascular disease: case report. Ann Surg. 1961;27: 632-637.
3.
Passman MA, Farber MA, Criado E., Marston WA, Burnham SJ, Keagy BADescending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease? J Vasc Surg. 1999;29:249-258.
4.
McMillan WD, McCarthy WJMinimally invasive thoracoscopic thoracofemoral bypass: a case report. Cardiovasc Surg. 1999;7:251-254.
5.
Kolvenbach R. , Da Silva L., Schwierz E., Deling O.Descending aorta-to-femoral artery bypass: preliminary experience with thoracoscopic technique. Surg Laparosc Endosc Percutan Tech. 2000;10:76-81.
6.
Rutherford RB , Patt A., Pearce WHExtra-anatomic bypass: a closer view. J Vasc Surg. 1987;6:437-446.
