Clinical Study of Nine Cases of Extraanatomic Bypass from the Thoracic Aorta to Bifemoral Arteries

(Department of Cardiovascular Surgery, Sunagawa Medical Center, Sunagawa, Japan)

Akihiko Sasaki Shinji Nakashima Akira Fujii
Masahiro Miyajima
We performed extraanatomic bypass from the thoracic aorta to bifemoral arteries for 4 aortoiliac occlusive disease (AIOD) patients (including 2 dialysis patients) with severe calcification of abdominal aorta and 5 high aortic occlusion (HAO) patients between January 2001 and September 2006. The average age was 69 years old (range 46-80) including 6 men. Two HAO cases were in the acute phase, one of whom had accompanying lower limb paralysis. Two of the AIOD cases showed small aorta syndrome. The mean operation time was 145 min and intra- or postoperative bleeding was very low. We lost one peritoneal dialysis patient with AIOD in the 2nd postoperative week, due to infection from the CAPD tube. Perigraft seroma which is a complication of the artificial blood vessel itself was seen in 3 patients but graft patency was 100 percent at 2 years postoperatively.
@Jpn. J. Cardiovasc. Surg. 36: 225-227 (2007)