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KMID : 0364020090420010104
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 1 p.104 ~ p.106
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Descending Thoracic Aorto-bifemoral Artery Bypass Grafting in a Leriche’s Syndrome
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Chung Jae-Ho
Son Ho-Sung
Lee Sung-Ho
Kang Moon-Chul
Son Kuk-Hui
Yi Eun-Jue
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Abstract
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Extra-anatomic graft bypass is frequently performed instead of standard infrarenal aorto-iliac reconstruction in patients with Leriche syndrome in whom the thrombus extends to the level of the renal arteries. However, many different surgical options are still being attempted due to the unsatisfying long-term graft patency. We performed a descending thoracic aorto-bifemoral bypass graft with 14 and 14-7-7 mm artificial vessels through a posterolateral thoracotomy, a median laparotomy, and a longitudinal inguinal incision in a 48-year-old male who suffered from claudication with Leriche syndrome. After surgery, the patient recovered well and was discharged. The patient walked well without any symptoms during the 6 month follow-up period in the outpatient department. We have concluded that descending thoracic aorto-bifemoral bypass grafting could be considered as an alternative method for patients with Leriche syndrome in whom standard infrarenal aorto-iliac reconstruction is unsuitable. (Korean J Thorac Cardiovasc Surg 2009;42:104-106)
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KEYWORD
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Arterial occlusive disease, Bypass, Leriche syndrome
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