Japanese Journal of Cardiovascular Surgery Vol43,No3

Aorto-bilateral External Iliac Artery Bypass Graft in a Patient with Leriche Syndrome and an Ileal Conduit

Tetsuya KajiyamaShinya FukuiMasataka Mitsuno
Hiroe TanakaMasaaki Ryomoto and Yuji Miyamoto

(Department of Cardiovascular Surgery, Hyogo Medical University, Nishinomiya, Japan)

We report a patient with Leriche syndrome who had ileal conduit and a right lower quadrant stoma. A 47-year-old man with a history of bladder cancer had undergone radical total cystectomy with formation of an ileal conduit and right lower quadrant stoma 2 years previously. CT scanning revealed total occlusion of the distal aorta. He experienced right lower leg pain after 30m of walking. Through a repeat midline laparotomy incision, the abdominal aorta was dissected with a transperitoneal approach. To avoid dissection around the ileal conduit, the retroperitoneum was incised(open)at the right of the ascending colon and at the left of the sigmoid colon. A prosthetic graft(Interguard 14×7mm)was pulled bilaterally through these incisions, to the external iliac arteries. Abdominal aorto-bilateral external iliac artery bypass grafting was performed and the patient was discharged without complications on the 15th postoperative day.

 

Jpn. J. Cardiovasc. Surg. 43:158-161(2014)

Keywords:Leriche syndrome;ileal conduit, reoperation


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