An axillodistal abdominal aorta bypass graft is proposed as an alterative procedure for revascularization of the lower limbs when intraabdominal and intrathoracic approaches are not feasible. This simple and safe procedure is proposed instead of the axillobifemoral bypass graft for the treatment of selected patients with abdominal aortic occlusive or aneurysmal disease and aortic graft infection. A case of a patient who underwent axilloabdominal aortic grafting because of a ruptured infrarenal abdominal aortic aneurysm, combined with severe chronic obstructive pulmonary disease, is reported.
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References
1.
Eugene J., Goldstone J., Moore WS: Fifteen-year experience with subcutaneous bypass grafts for lower extremity ischemia. Ann Surg186:177-183, 1977.
2.
Blaisdell FW , De Mattei GA, Gauder PJ: Extraperitoneal thoracic aorta to femoral bypass graft as replacement for an infected aortic trifurcation graft. Am J Surg102:583-585, 1961.
3.
Blaisdell FW , Hall AD: Axillary-femoral bypass for lower extremity ischemia. Surgery54:563-568, 1963.
4.
Sauvage LR, Wood SJ: Unilateral axillary bilateral femoral bifurcation graft: A procedure for the poor risk patient with aortoiliac disease. Surgery60:573-577, 1966.
5.
Garret HE, Crawford ES, Beall AC, et al: Surgical treatment of aneurysm of the thoraco-abdominal aorta . Surg Clin North Am46:913-918, 1966.
6.
Shumaker HB Jr, King H., Nahrwold DL, et al: Coarctation of the Aorta. Current Problems in Surgery. Chicago: Year Book Medical Publishers, 1968, pp 16-48.
7.
Frantz SL, Kaplitt MJ, Beil AR: Ascending aorta-bilateral femoral artery bypass for the totally occluded infrarenal abdominal aorta. Surgery75:471-475, 1974.
8.
Inokuchi K., Kusaba A., Ono K., et al: Innomino-abdominal aortic bypass graft: A safe alternative to coarctation of aorta. Jpn J Surg1: 161-166, 1971.
9.
Stipa S., Shaw RG: Aortoiliac reconstruction through a retroperitoneal approach. J Cardiovasc Surg9:225-231, 1968.
10.
Williams GM , Ricotta JJ, Zinner M., et al: The extended retroperitonteal approach for the management of extensive atherosclerosis of the aorta and renal vessels . Surgery88:846-853, 1980.
11.
Chang BB, Shah DM, Paty Psk, et al: Can the retroperitoneal approach be used for ruptured abdominal aortic aneurysms?J Vasc Surg11:326-330, 1990.
