Korean J Thorac Cardiovasc Surg.  2009 Feb;42(1):104-106.

Descending Thoracic Aorto-bifemoral Artery Bypass Grafting in a Leriche's Syndrome

• Chung JH
• Son HS
• Yi EJ
• Son KH
• Kang MC
• Lee SH

Abstract

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.

Keyword

Arterial occlusive disease; Bypass; Leriche syndrome

MeSH Terms

Arterial Occlusive Diseases
Arteries
Follow-Up Studies
Humans
Laparotomy
Leriche Syndrome
Male
Middle Aged
Outpatients
Renal Artery
Thoracotomy
Thrombosis
Transplants