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Thorac Cardiovasc Surg 2005; 53(06): 384-386
DOI: 10.1055/s-2005-865761
Short Communication

Extended Aortic Bypass for Atherosclerotic Occlusive Disease of High Abdominal Aorta

H. Okamoto
Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan
,
A. Tamenishi
Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan
,
Y. Itoh
Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan
,
T. Niimi
Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan
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Abstract

We describe a case of acute renal failure caused by extension of an atherosclerotic occlusive process to the suprarenal aorta. A 68-year-old man underwent bypass grafting from the ascending aorta to the femoral arteries using straight and Y-grafts. Additional saphenous vein grafts were placed from the intra-abdominal portion of the graft to the left and right renal arteries and the splenic artery. As a consequence, relief of limb ischemia was achieved and dialysis could be discontinued.

Key words

Extended aortic bypass - aorto-iliac occlusive disease - renal artery bypass - acute aortic occlusion


Publication History

Received: 03 January 2005

Publication Date:
28 November 2005 (online)

Georg Thieme Verlag KG Stuttgart New York

 

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