Surgical Treatment for Atherosclerosis of Aaortoiliac Artery.
- Author:
Dong Yoon KEUM
1
;
Jin Ak JUNG
;
Hwa Kyun SHIN
;
Jae Won LEE
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Eulji University Hospital, Eulji university, college of medicine, Korea. kdy@emc.eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Arterial occlusive disease;
Iliac artery
- MeSH:
Aorta, Abdominal;
Arterial Occlusive Diseases;
Arteries*;
Atherosclerosis*;
Diabetes Mellitus;
Heart;
Heart Valve Diseases;
Hematoma;
Hemorrhage;
Humans;
Hypertension;
Iliac Artery;
Lower Extremity;
Male;
Mortality;
Population Groups;
Postoperative Complications;
Smoke;
Smoking;
Transplants;
Wounds and Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(2):133-137
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Atherosclerosis obliterans affecting lower extremities may involve the abdominal aorta and its major branches to the lower extremities, especially the common iliac arteries. It may affect focal segment or multiple segments. MATERIAL AND METHOD: A retrosp ective study was performed on 23 cases of aortoiliac arterial atherosclerotic pa tients who were treated with bypass graft surgery at Eulji University Hospital f rom January, 1995 through December, 1999. RESULT: All the patients were male and the mean age was 60.15+/-8.7. All had history of smoking and the associa ted diseases were diabetes mellitus in 8, hypertension in 7, ischemic heart dise ase in 6, and valvular heart disease in 1. Operative methods of aortoiliac athro sclerotic disease were aortobifemoral bypass graft only(7), aortobifemoral bypas s graft and concomitant femoropopliteal bypass graft(8), aortofemoral bypass gra ft(2), axillofemoral and femorofemoral bypass graft(3), and femorofemoral bypass graft(3). Postoperative complications were retroperitoneal hematoma or bleeding (3), paralytic ileus(3), pneumonia(3), cerebrovascular accident(1), acute renal failure(2), wound infection(2). Three perioperative mortality occurred among ana tomical bypass patients. CONCLUSION: We concluded that anatomical bypass treament has been a standard procedure for treatment of aortoi liac occlusive disease, but extraanatomical bypass surgery colud be a good alter natives for compromised patients with lower morbidity and mortality.
