Aortobifemoral arterial bypass grafting (Y-graft) is an important operation in vascular surgery. Early complications of Y-graft implantation are generally technical and infrequent. These are postoperative hemorrhage, acute occlusion of graft limb, distal atheroembolism (trash foot), and early thrombosis of the graft.
Early occlusion of the graft is attributable to twisting or kinking of the graft in the retroperitoneal tunnel. In this patient, who was operated on at another center, the symptoms were seen six months after the operation. At the reoperation, both limbs of the Y-graft were found to be kinked in the retroperitoneal tunnel. The kink was solved and excised, and profundoplasty was applied to both of the deep femoral arteries.
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