Axillary-femoral bypass graft patency without aorto-femoral pressure differential: disuse atrophy of ipsilateral ileo-femoral segment.
Differential aorto-femoral pressure gradient is not required to assure axillary-femoral bypass graft patency for a brief period of time. One-hundred twenty-three days elapsed from axillary-femoral graft construction to elective removal of the functioning conduit in an individual without aorto-femoral pressure differential. During this time, reversible "disuse atrophy" of the ipsilateral ileo-femoral arterial system occurred. It is suggested that phasic differences in pulse wave propagation between the aorto-iliac-femoral and axillary-femoral circuits maintained graft patency and accompanying decreased flow volume in the ileo-femoral arterial circuit resulted in "disuse atrophy."
D000328:Adult; D000792:Angiography; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001284:Atrophy; D001366:Axillary Artery / Q000601:surgery*; D001794:Blood Pressure; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications