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The Annals of Thoracic Surgery, Vol 40, 588-592, Copyright © 1985 by The Society of Thoracic Surgeons

ARTICLES

Thoracic aorta-femoral artery bypass: indications, technique, and late results

RJ Feldhaus, AV Sterpetti, RD Schultz and DJ Peetz Jr

Retroperitoneal descending thoracic aorta-femoral artery bypass was performed in 18 patients over an 11-year period. The reconstruction was carried to both femoral arteries in 12 patients; in the other 6, only a single femoral artery was revascularized. The operative indication in Group 1 (3 patients) was infection of a previous aortoiliac reconstruction; in Group 2 (12 patients), occlusion of a previous aortoiliac reconstruction; and in Group 3 (3 patients), aortoiliac occlusive disease in which a direct transabdominal procedure was considered hazardous. Follow-up ranged from 6 months to 9 years (mean, 40 months). Cumulative patency rate was 96 +/- 3.9% at 1 year and 85 +/- 8.1% at 5 years. No alterations of serum creatinine and blood urea nitrogen values were recorded seven days and 6 months after operation. Retroperitoneal thoracic aorta-femoral artery bypass is a useful technique for accomplishing lower limb revascularization in patients in whom exposure or availability of the abdominal aorta poses a specific hazard.


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 PERSPECT VASC SURG ENDOVASC THERHome page
M. A. Passman and B. A. Keagy
Descending Thoracic Aorta to Femoral Artery Bypass
Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1999; 11(1): 69 - 81.
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Copyright © 1985 by The Society of Thoracic Surgeons.