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KMID : 0364019920250010105
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 1 p.105 ~ p.111
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Supraceliac Aorta Bypass Surgery For Juxtarenal Aortic Occlussive Disease -2 Case-
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김형준
정원상/김영학/강정호/지행옥/장치옥
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Abstract
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Total atherosclerotic obstruction of the juxtarenal abdominal aorta is a relatively rarely encountered from of atherosclerotic vascsular disease accounting for less than 50% of all arterial obstrutive disease. We have encountered two patients
with
such
lesions, both of whom were admitted for intermittent claudication of the lower extremities and symptoms of vascular ischemia. Digital subtraction angiography(DSA) was performed on both patients, the results of which revealed total obstruction of
the
aorta just inferior to the renal arteries without involving the latter. Operative technique involved the used of the supraceliac aorta as the site of proximal anastomosis of aortofemoral bypass followed by a femorofemoral bypass graft with 8mm
sized
Woven Dacron(Vascutek) through a subcutaneous tunnel within the retroperitoneal space. Both patients experienced restoration of blood flow distal to the obstruction postoperatively without any complications, and OPD follow-up one month
postoperatively
and postoperative DSA shoed evidence of continued graft patency with persistent symptomatic improvement.
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KEYWORD
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