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Ureteral Obstruction Secondary to Bifurcated Aortic Grafts
Joseph G. Antkowiak, MD;
Ronald A. D'Altorio, MD
Arch Surg. 1979;114(7):853-856.
Abstract
We report three cases of ureteral obstruction producing hydronephrosis following aortofemoral bypass graft. In each case, the obstruction occurred in the area where the ureter crossed over the limb of a Dacron graft. Ureterolysis relieved the obstruction. Most of the previously reported cases of this complication of bypass surgery occurred when the ureter was situated between the limb of a graft and the patient's own iliac artery. Various methods of surgical approach are listed. In some cases, ureterolysis is a suitable alternative to division and reanastomosis of the ureter to relieve obstruction.
(Arch Surg 114:853-856, 1979)
Author Affiliations
From the Department of Cardiovascular Surgery (Dr Antkowiak) and the Division of Diagnostic Radiology (Dr D'Altorio), Western Pennsylvania Hospital, Pittsburgh.
Footnotes
Accepted for publication Feb 2, 1979.
Reprint requests to Department of Cardiovascular Surgery, Western Pennsylvania Hospital, 4800 Friendship Ave, Pittsburgh, PA 15224 (Dr Antkowiak).
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