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Ann Thorac Surg 1985;40:588-592
© 1985 The Society of Thoracic Surgeons

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Articles

Thoracic Aorta-Femoral Artery Bypass: Indications, Technique, and Late Results

From the Division of Cardiovascular Surgery, Department of Surgery, Creighton University School of Medicine, Omaha, NE

Accepted for publication February 22, 1985.

^* Address reprint requests to Dr. Schultz, 87th and Burt Medical Bldg, 720 N 87th St, Suite 201, Omaha, NE 68114

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.

This article has been cited by other articles:

				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. [Abstract] [PDF]