Descending thoracic aorto-bifemoral bypass graft: a safe alternative in the high risk patients.
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.
O'Brien
D P
DP
University College Hospital, Galway.
Waldron
R P
RP
McCabe
J P
JP
Courtney
D F
DF
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
D011093:Polyethylene Terephthalates