Clinical Study of Nine Cases of Extraanatomic Bypass from the Thoracic Aorta to Bifemoral Arteries
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 aver...
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| Published in | Japanese Journal of Cardiovascular Surgery Vol. 36; no. 4; pp. 225 - 227 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society for Cardiovascular Surgery
2007
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| Online Access | Get full text |
| ISSN | 0285-1474 1883-4108 |
| DOI | 10.4326/jjcvs.36.225 |
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| Abstract | 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 145min 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. |
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| AbstractList | 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 145min 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. |
| Author | Nakashima, Shinji Miyajima, Masahiro Sasaki, Akihiko Fujii, Akira |
| Author_xml | – sequence: 1 fullname: Miyajima, Masahiro organization: Department of Cardiovascular Surgery, Sunagawa Medical Center – sequence: 1 fullname: Sasaki, Akihiko organization: Department of Cardiovascular Surgery, Sunagawa Medical Center – sequence: 1 fullname: Fujii, Akira organization: Department of Cardiovascular Surgery, Sunagawa Medical Center – sequence: 1 fullname: Nakashima, Shinji organization: Department of Cardiovascular Surgery, Sunagawa Medical Center |
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| References | 1) Cronenwatt, J. L., Davis, J. T., Gooch, J. B. et al.: Aortoiliac occlusive disease in women. Surgery 88: 775-784, 1980. 5) Baird, R. J., Ropchan, G. V., Oates, T. K. et al.: Ascending aorta to bifemoral bypass : a ventral aorta. J. Vasc. Surg. 3: 405-410, 1986. 4) Davidovic, L. B., Mitric, M. S., Maksimovic, Z. V. et al.: Axillofemoral bypass grafting. Srp. Arh. Celok. Lek. 132: 157-162, 2004. 3) Schneider, J. R., McDaniel, M. D., Walsh, D. B. et al.: Axillofemoral bypass: outcome and hemodynamic results in high-risk patients. J. Vasc. Surg. 15: 952-962, 1992. 2) Pevec, W. C., Holcroft, J. W. and Blaisdell, F. W.: Ligation and extraanatomic arterial reconstruction for the treatment of aneurysm of the abdominal aorta. J. Vasc. Surg. 20: 629-636, 1994. 9) Mizumoto, T., Tokui, T., Hiraiwa, T. et al.: Aortic valvular insufficiency and postductal aortic coarctation with small aorta syndrome: one-stage surgical management using extraanatomic bypass through median sternotomy. Jpn. J. Thorac. Cardiovasc. Surg. 54: 496-499, 2006. 6) Suma, H., Sato, H., Fukumoto, H. et al.: Combined revascularization of coronary and femoral arteries: a proposal alternative. Ann. Thorac. Surg. 48: 434-436, 1989. 8) Almeida de Oliveria, S., Lisboa, L. A., Dallan, L. A. et al.: Extraanatomic aortic bypass for repair of aortic arch coarctation via sternotomy: midterm clinical and magnetic resonance imaging results. Ann. Thorac. Surg. 76: 1962-1966, 2003. 7) Matsuzaki, K., Seino, R. and Yasuda, K.: Simultaneous coronary artery bypass grafting and ascending aorta bifemoral bypass in small aorta syndrome. Jpn. J. Thorac. Cardiovasc. Surg. 48: 398-400, 2000. |
| References_xml | – reference: 5) Baird, R. J., Ropchan, G. V., Oates, T. K. et al.: Ascending aorta to bifemoral bypass : a ventral aorta. J. Vasc. Surg. 3: 405-410, 1986. – reference: 7) Matsuzaki, K., Seino, R. and Yasuda, K.: Simultaneous coronary artery bypass grafting and ascending aorta bifemoral bypass in small aorta syndrome. Jpn. J. Thorac. Cardiovasc. Surg. 48: 398-400, 2000. – reference: 2) Pevec, W. C., Holcroft, J. W. and Blaisdell, F. W.: Ligation and extraanatomic arterial reconstruction for the treatment of aneurysm of the abdominal aorta. J. Vasc. Surg. 20: 629-636, 1994. – reference: 9) Mizumoto, T., Tokui, T., Hiraiwa, T. et al.: Aortic valvular insufficiency and postductal aortic coarctation with small aorta syndrome: one-stage surgical management using extraanatomic bypass through median sternotomy. Jpn. J. Thorac. Cardiovasc. Surg. 54: 496-499, 2006. – reference: 8) Almeida de Oliveria, S., Lisboa, L. A., Dallan, L. A. et al.: Extraanatomic aortic bypass for repair of aortic arch coarctation via sternotomy: midterm clinical and magnetic resonance imaging results. Ann. Thorac. Surg. 76: 1962-1966, 2003. – reference: 4) Davidovic, L. B., Mitric, M. S., Maksimovic, Z. V. et al.: Axillofemoral bypass grafting. Srp. Arh. Celok. Lek. 132: 157-162, 2004. – reference: 1) Cronenwatt, J. L., Davis, J. T., Gooch, J. B. et al.: Aortoiliac occlusive disease in women. Surgery 88: 775-784, 1980. – reference: 3) Schneider, J. R., McDaniel, M. D., Walsh, D. B. et al.: Axillofemoral bypass: outcome and hemodynamic results in high-risk patients. J. Vasc. Surg. 15: 952-962, 1992. – reference: 6) Suma, H., Sato, H., Fukumoto, H. et al.: Combined revascularization of coronary and femoral arteries: a proposal alternative. Ann. Thorac. Surg. 48: 434-436, 1989. |
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| Title | Clinical Study of Nine Cases of Extraanatomic Bypass from the Thoracic Aorta to Bifemoral Arteries |
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