title: Descending thoracic aorto-bifemoral bypass graft: a safe alternative in the high risk patients.
abstract: A fifty-nine year old male presented with disabling intermittent claudication. A Translumbar Aortogram was performed showing ".....total occlusion of the abdominal aorta just distal to the level of the renal arteries". As a direct result of this invasive radiological procedure, he subsequently developed acute pancreatitis and a pancreatic abscess necessitating open surgical drainage. Re-vascularisation of his aortic occlusion was deferred for fifteen months when a Descending Thoracic Aorta Bifemoral (DTAB) bypass was performed--thus avoiding the insertion of foreign, sterile, arterial prosthesis in a previously infect abdominal cavity.
authors.affiliation: University College Hospital, Galway.
authors.forename: D P
authors.initials: DP
authors.lastname: O'Brien
authors.forename: R P
authors.initials: RP
authors.lastname: Waldron
authors.forename: J P
authors.initials: JP
authors.lastname: McCabe
authors.forename: D F
authors.initials: DF
authors.lastname: Courtney
mesh_terms: D000208:Acute Disease; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging; D001027:Aortography / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D011093:Polyethylene Terephthalates
chemical_list: D011093:Polyethylene Terephthalates