A Case of Axillofemoral Bypass Graft Stump Syndrome Occurring in Both the Upper and Lower Extremities
- VernacularTitle:上下肢に同時発症した Axillofemoral bypass graft stump syndrome の1例
- Author:
Shinya NEGOTO
1
;
Ryo KANAMOTO
1
;
Shinichi NATA
1
;
Shinichi IMAI
1
;
Yusuke SHINTANI
1
;
Hiroyuki OTSUKA
1
;
Shinichi HIROMATSU
1
;
Hidetoshi AKASHI
1
;
Hiroyuki TANAKA
1
Author Information
- Keywords: axillofemoral bypass; extra-anatomical bypass; thromboembolism; graft occlusion
- From:Japanese Journal of Cardiovascular Surgery 2019;48(4):277-280
- CountryJapan
- Language:Japanese
- Abstract: Acute ischemia due to thromboembolism caused by occluded prosthetic graft after axillary-femoral artery bypass has been reported as axillofemoral bypass graft stump syndrome (AxSS). AxSS usually occurs in the upper extremities and it is rare that it occurs in the lower extremities. We encountered a rare case of a 76-year-old woman with acute right upper and lower extremities ischemia 4 years after right axillary-external iliac artery bypass grafting. The graft and the native arteries of the right upper and lower limbs were occluded. In addition, the right axillary artery and proximal anastomotic site were deformed. We diagnosed acute limb ischemia due to AxSS and immediately performed thrombectomy. Because we considered the thrombosis to originate from the axillary-iliac artery bypass graft, we disconnected the occluded graft from the native arteries. Six months after surgery, she was doing well without recurrence of thromboembolism. We report here the successful treatment of a case of AxSS that developed in both the upper and lower extremities.
