Linear-Aortofemoral Bypass in Severe Calcification of the Aortoiliac Segment

Atherosclerosis of the aortoiliac segment complicated by calcification remains one of the key issues of vascular surgery. The gold standard for treating extensive occlusion of the aortoiliac segment is aortofemoral bypass surgery. In the presence of severe calcification, alternative surgical interventions include thoracofemoral bypass (TFB) or axillofemoral bypass (AFB). However, with calcification of the descending thoracic aorta and calcification of the subclavian and axillary arteries, the preferred surgical option is linear aortofemoral bypass using intraoperative balloon occlusion of the aorta and iliac arteries.This article presents a case of linear aortofemoral bypass surgery in a patient with diffuse calcification of the aortoiliac segment, using balloon occlusion of the aorta.