Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis

Retroperitoneal fibrosis (RPF) is an uncommon fibrotic disorder that can cause pain, ureteral obstruction, deep venous thrombosis, hydrocele, and, rarely, aortic occlusion. Herein is described a 65-year-old man with aortic occlusion from idiopathic RPF who was treated with axillobifemoral bypass gra...

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Published inJournal of vascular surgery cases and innovative techniques Vol. 8; no. 2; pp. 132 - 135
Main Authors Wang, Kathy K., El Khoury, Rym, Joob, Axel, Jacobs, Chad E., White, John V., Schwartz, Lewis B.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2022
Elsevier
Subjects
Aortic occlusion
Case report
Retroperitoneal fibrosis
Thoracobifemoral bypass
Aortic occlusion
Retroperitoneal fibrosis
Thoracobifemoral bypass
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Summary:Retroperitoneal fibrosis (RPF) is an uncommon fibrotic disorder that can cause pain, ureteral obstruction, deep venous thrombosis, hydrocele, and, rarely, aortic occlusion. Herein is described a 65-year-old man with aortic occlusion from idiopathic RPF who was treated with axillobifemoral bypass grafting, which failed in the intermediate term. On representation with critical claudication, he underwent thoracobifemoral bypass grafting via a lateral retroperitoneal tunnel created through a midline, infraumbilical counterincision. He was discharged home on postoperative day 5. This illustrates the successful use of thoracic aortic inflow to treat the aortoiliac occlusive complication of RPF.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2022.01.005