Simultaneous Aortobifemoral and Bilateral Femoropopliteal Artery Bypass Graft for Multilevel Lower Extremity Occlusive Disease: 2 cases report.
- Author:
Jin Hong PAK
1
;
Eung Joong KIM
;
Hyun Keun CHEE
;
Yoon Cheol SHIN
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Hallym University Medical College, Korea. kimej@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Arterial occlusive disease;
Arterial bypass
- MeSH:
Angiography;
Angioplasty;
Aorta, Abdominal;
Arterial Occlusive Diseases;
Arteries*;
Atherosclerosis;
Humans;
Intermittent Claudication;
Lower Extremity*;
Postoperative Complications;
Recurrence;
Saphenous Vein;
Transplants*;
Wounds and Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(5):371-374
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atherosclerosis has more than 60% of the causes of arterial occlusive diseases. The abdominal aorta and lower extremity arteries are the most common sites of occlusion. We have treated surgically 2 cases who had intermittent claudication and were diagnosed as simultaneous aortobifemoral and bilateral femoropopliteal obstruction by angiography, but had ineffective results from medical treatment or angioplasty. Simultaneously aortobifemoral bypass using Hemashield Y graft and bilateral femoropopliteal bypass using autologous greater saphenous vein were done. After operations, the symptom disappeared and there were no specific postoperative complications except abdominal wound dehiscence. In postoperative angiography, we had obtained good patency of bypass graft. We are following up patients through the out patient department without recurrence up to 16 months.
