Korean J Thorac Cardiovasc Surg.  2003 May;36(5):371-374.

Simultaneous Aortobifemoral and Bilateral Femoropopliteal Artery Bypass Graft for Multilevel Lower Extremity Occlusive Disease: 2 cases report

• Pak JH
• Kim EJ
• Chee HK
• Shin YC

Abstract

Atherosclerosis has more than 60% of the causes of arterial occlusive diseases. The abdominal aorta and lower extremity arteries are the most common sites of occlusion. We have treated surgically 2 cases who had intermittent claudication and were diagnosed as simultaneous aortobifemoral and bilateral femoropopliteal obstruction by angiography, but had ineffective results from medical treatment or angioplasty. Simultaneously aortobifemoral bypass using Hemashield Y graft and bilateral femoropopliteal bypass using autologous greater saphenous vein were done. After operations, the symptom disappeared and there were no specific postoperative complications except abdominal wound dehiscence. In postoperative angiography, we had obtained good patency of bypass graft. We are following up patients through the out patient department without recurrence up to 16 months.

Keyword

Arterial occlusive disease; Arterial bypass

MeSH Terms

Angiography
Angioplasty
Aorta, Abdominal
Arterial Occlusive Diseases
Arteries*
Atherosclerosis
Humans
Intermittent Claudication
Lower Extremity*
Postoperative Complications
Recurrence
Saphenous Vein
Transplants*
Wounds and Injuries