HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Akio Ihaya Yukio Chiba Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ihaya, A. Articles by Uesaka, T. Search for Related Content PubMed Articles by Ihaya, A. Articles by Uesaka, T. Related Collections Great vessels Peripheral vascular

Descending Thoracic Aortobifemoral Bypass for Aortoiliac Occlusive Disease

Second Department of Surgery Fukui Medical University Hospital Fukui, Japan
For reprint information contact: Akio Ihaya, MD Tel: 81 776 61 3111 Fax: 81 776 61 8114 email: iakio{at}fmsrsa.fukui-med.ac.jp Second Department of Surgery, Fukui Medical University Hospital, 23 Shimoaizuki, Yoshida-gun, Matsuoka-cho, Fukui 910-1193, Japan.

Descending thoracic aortobifemoral bypass was evaluated in 3 patients with Leriche's syndrome and 1 with severe arteriosclerosis obliterans. Indications for this approach were lack of a suitable site for aortic clamping in 3 and history of laparotomy in 1. Duration of surgery was 4.5 to 5.25 hours, and blood loss was 450 to 1,900 g. There was no surgical mortality. Major morbidity comprised visceral arterial ischemia postoperatively in 1 patient. During a mean follow-up of 60 months (range, 36 to 84 months), 2 limbs of the grafts became occluded. No patient developed proximal propagation of an aortic thrombus. This approach is recommended in selected patients without impaired pulmonary function, when conventional approaches to the abdominal aorta are considered hazardous.