Key result
Descending thoracic-to-bifemoral bypass relieves claudication and maintains 30-month patency in total abdominal aortic obstruction.
Case Report (n=1)
No
Descending thoracic aorta to femoral artery bypass can serve as a viable primary revascularization option in patients with hostile abdominal conditions.
Supports feasibility in hostile abdomens; leaves open durability, safety, and comparative efficacy in larger cohorts.
Descending thoracic aorta to femoral artery bypass has been used as a remedial operation after aortic or axillofemoral graft failure or graft infection and other intra-abdominal pathologies not amenable to standard aortofemoral revascularization. It can avoid abdomen approach and has been known as a durable procedure with excellent long-term patency. We reported descending thoracic aorta to femoral artery bypass grafting for primary revascularization in a 55-year-old male with hostile abdominal conditions.
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Lee et al. (2012) conducted a case report in Total abdominal aorta obstruction (n=1). Descending thoracic aorta to bilateral femoral artery bypass was evaluated on Graft patency and symptom relief. Descending thoracic aorta to bilateral femoral artery bypass successfully relieved claudication and maintained graft patency at 30 months in a patient with total abdominal aorta obstruction and a hostile abdomen.
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