Unilateral iliac artery occlusive disease can be successfully treated with femorofemoral bypass. Although the results of this extraanatomic reconstruc tion have generally been excellent, a case is presented in which tortuosity of the donor iliac artery may have produced hemodynamic factors which caused accelerated atherosclerosis. Implications of this finding in selecting patients for femorofemoral bypass are discussed.
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References
1.
Brief DK, Alpert J., and Parsonnet V.: Crossover femorofemoral grafts: Compromise or preference: A reappraisal . Arch Surg105:889, 1972.
2.
Brief DK, Brener BJ, Alpert J., and Parsonnet V.: Crossover femoro-femoral grafts followed up five years or more. Arch Surg110:1294, 1975.
3.
Mannick JA, and Maini BS: Femorofemoral grafting: Indications and late results. Am J Surg136:190, 1978.
4.
Flanigan DP, Pratt DG, Goodreau JJ, et al: Hemodynamic and angiographic guidelines in selection of patients for femorofemoral bypass. Arch Surg113:1257, 1978 .
5.
Dick LS, Brief DK, Alpert J., et al: A 12 year experience with femorofemoral crossover grafts. Arch Surg115:1359, 1980.
6.
Texon M.: The hemodynamic basis of atherosclerosis. Adv Exp Med Biol82:180, 1977.
7.
Matsuda I., Niimi H., Moritake K., et al: The role of hemodynamic factors in arterial wall thickening in the rat. Atherosclerosis29:363, 1978.
8.
Constantinides P.: The morphological basis for altered endothelial permeability in atherosclerosis. Adv Exp Med Biol82:969, 1977.
9.
Wesolowski SA , Fries CC, Sabini AS, and Sawyer PN: The significance of turbulence in hemic systems and in the distribution of the atherosclerotic lesion. Surgery57:155, 1965.
10.
Texon M., Imparato AM, and Helpern M.: The role of vascular dynamics in the development of atherosclerosis . JAMA194:1226, 1965.
11.
Texon M., Imparato AM, and Lord JW: The hemodynamic concept of atherosclerosis. AMA Arch Surg80:55, 1960.
