Transabdominal access to the thoracic aorta for aortofemoral bypass grafting.
When acute thrombosis of the abdominal aorta occurs in a comatose patient, direct examination of the intraabdominal organs becomes mandatory. Once a laparotomy has been performed, media calcinosis of the infrarenal aorta is a contraindication to its use as an inflow source. We describe a technique for exposing the thoracic aorta through the abdomen, which obviates the need for a thoracoabdominal incision in such critically ill patients.
Tovar
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Division of Cardiovascular Surgery, St. Jude Medical Center, Fullerton, California 92635, USA.
Del Campo
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C
McCoy
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Ness
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D000714:Anastomosis, Surgical; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004630:Emergencies; D005263:Femoral Artery / Q000601:surgery*; D006323:Heart Arrest / Q000209:etiology / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000150:complications / Q000601:surgery*; D014057:Tomography, X-Ray Computed