Document Detail

Implantation of the distal aorta: a technique for preservation of pelvic blood flow in aortofemoral reconstruction.
MedLine Citation:
PMID:  2187516     Owner:  NLM     Status:  MEDLINE    
We report our initial experience with a previously undescribed variation of aortofemoral bypass. This technique is an alternative to end-to-side aortic anastomosis for preservation of pelvic blood flow. It involves an end-to-end proximal aortic anastomosis with implantation of the distal aorta into the posterior wall of the bifurcation graft. This approach has been used selectively for nine patients. Seven patients operated on using this technique had bilateral external iliac artery disease preventing retrograde perfusion of the pelvis. We used this procedure in two other young patients to preserve large inferior mesenteric and distal aortic lumbar vessels proximal to common iliac artery occlusions. Mean follow-up has been 20 months. There have been no deaths and no major complications. This technique provides the hemodynamic benefit of a proximal end-to-end aortic anastomosis while maintaining patency of the distal aorta and its branches. Additional technical advantages may include better suture line protection from the duodenum and a decreased potential for graft limb kinking. These factors may ultimately result in superior long-term graft patency.
A M Goldstein; J R Youkey; W F Pharr
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  4     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-06-27     Completed Date:  1990-06-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  213-7     Citation Subset:  IM    
Department of Cardiovascular and Thoracic Surgery, Geisinger Medical Center, Danville, Pennsylvania 17822.
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MeSH Terms
Anastomosis, Surgical / methods*
Aorta / transplantation*
Arteriosclerosis / physiopathology,  radiography,  surgery*
Femoral Artery*
Follow-Up Studies
Middle Aged
Suture Techniques
Vascular Patency
Comment In:
Ann Vasc Surg. 1991 Jan;5(1):104   [PMID:  1997069 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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