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Ann Thorac Surg 1987;43:437-439
© 1987 The Society of Thoracic Surgeons

Articles

Femoral Artery Perfusion for Cardiopulmonary Bypass in Patients with Aortoiliac Artery Obstruction

Joseph S. Coselli, M.D., E. Stanley Crawford, M.D.*

Department of Surgery, Baylor College of Medicine, and the Methodist Hospital, Houston, TX

Accepted for publication May 2, 1986.

* Address reprint requests to Dr. Crawford, One Baylor PI, Houston, TX 77030

A patient with type I aortic dissection, ascending aortic aneurysm, and infrarenal aortic occlusion was managed by inserting an infrarenal bifurcation graft and using one limb as arterial access for cardiopulmonary bypass. Following ascending aorta and aortic arch repair, the aorto-bi-common femoral artery bypass was completed. In patients with severe aortoiliac occlusive disease, graft replacement can provide access for both cardiopulmonary bypass and intraaortic balloon pump insertion.




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