| Descending thoracic aortobifemoral bypass for occluded abdominal aorta: retroperitoneal route without an abdominal incision. | |
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MedLine Citation:
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PMID: 3968159 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Severe juxtarenal aortic disease and occluded aortic bifurcation grafts have prompted surgeons to seek alternative routes when reoperating. We have modified the descending thoracic aortobifemoral bypass procedure by drawing the graft through a retroperitoneal tunnel to the left groin, thereby eliminating the need for an abdominal incision. The lower thoracic area is exposed through a left anterolateral thoracotomy incision and each common femoral artery is exposed by vertical incisions in the groins. The right limb is drawn through a retrorectus tunnel to the right groin for the final anastomosis. Experience with this technique in 12 patients has demonstrated less risk of atheroemboli, less blood loss, shorter operating time, and a more rapid postoperative recovery, than is the case in reentering the abdomen for a secondary aortic procedure. |
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Authors:
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D E Bowes; B A Keagy; C H Benoit; W F Pharr |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 26 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 1985 Jan-Feb |
Date Detail:
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Created Date: 1985-03-20 Completed Date: 1985-03-20 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: ITALY |
Other Details:
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Languages: eng Pagination: 41-5 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aorta, Thoracic
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surgery* Arterial Occlusive Diseases / surgery Blood Vessel Prosthesis Female Femoral Artery / surgery* Humans Male Retroperitoneal Space / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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