This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Walter J. McCarthy, MD; Jeffrey R. Rubin, MD; William R. Flinn, MD; Larry R. Williams, MD; John J. Bergan, MD; James S. T. Yao, MD

Arch Surg. 1986;121(6):681-688.

Abstract
• Descending thoracic aorta—to—femoral artery grafts were placed in 13 patients who had abdominal aortas deemed undesirable for surgical treatment. These included seven patients in whom an infected aortic graft had been removed for primary graft infection (three) or aortoduodenal fistula (four). These patients had been treated initially with axillary-femoral grafts. In five other patients, this approach was used following failure of at least two previous aortofemoral grafts. The remaining patient was so treated following multiple complex abdominal operations. The surgical technique involves a posterolateral, seventh interspace thoracoabdominal incision with a transdiaphragmatic retroperitoneal tunnel to the left groin. There was no operative mortality. The mean follow-up of all patients was 22 months (range, one to 44 months). All grafts remained patent except one, which was removed because of ascending groin infection. Three patients died, at 24, 29, and 44 months postoperatively, respectively. Reasonable perioperative morbidity and reliable patency make this an attractive technique for the conversion of axillofemoral bypasses and, when reentry of the abdominal cavity is undesirable, laparotomy is avoided.

(Arch Surg 1986;121:681-688)

Author Affiliations
From the Blood Flow Laboratory and Division of Vascular Surgery of the Department of Surgery, Northwestern University Medical School, Chicago. Dr Rubin is now with the Cleveland Veterans Administration Medical Center; Dr Williams is now with the University of South Florida Medical School, Tampa.

Footnotes
Accepted for publication Jan 30, 1985.

Read before the 93rd Annual Meeting of the Western Surgical Association, Rochester, Minn, Nov 20, 1985.

Reprint requests to Division of Vascular Surgery, Northwestern University Medical School, 303 E Chicago Ave, Chicago, IL 60611 (Dr Yao).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Axillary-Popliteal Artery Bypass Provides Successful Limb Salvage After Removal of Infected Aortofemoral Grafts
McCarthy et al.
Arch Surg 1992;127:974-978.
ABSTRACT