Descending Thoracic Aorto-bifemoral Artery Bypass Grafting in a Leriche's Syndrome / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 104-106, 2009.
Article
in Korean
| WPRIM
| ID: wpr-85628
ABSTRACT
Extra-anatomic graft bypass is frequently performed instead of standard infrarenal aorto-iliac reconstruction in patients with Leriche syndrome in whom the thrombus extends to the level of the renal arteries. However, many different surgical options are still being attempted due to the unsatisfying long-term graft patency. We performed a descending thoracic aorto-bifemoral bypass graft with 14 and 14-7-7 mm artificial vessels through a posterolateral thoracotomy, a median laparotomy, and a longitudinal inguinal incision in a 48-year-old male who suffered from claudication with Leriche syndrome. After surgery, the patient recovered well and was discharged. The patient walked well without any symptoms during the 6 month follow-up period in the outpatient department. We have concluded that descending thoracic aorto-bifemoral bypass grafting could be considered as an alternative method for patients with Leriche syndrome in whom standard infrarenal aorto-iliac reconstruction is unsuitable.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Arterial Occlusive Diseases
/
Arteries
/
Renal Artery
/
Thrombosis
/
Thoracotomy
/
Follow-Up Studies
/
Transplants
/
Laparotomy
/
Leriche Syndrome
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2009
Type:
Article
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