[Revascularization of supra-aortic trunks from the femoral artery].
A seventy-year-old woman had an occlusion of the left sub-clavian and left primitive, internal and external carotid arteries, combined with a pre-thrombotic stenosis of the brachiocephalic trunk. Lesions were so diffused that a cross extra-anatomic bypass was impossible at the cervical level. There was contraindication for the implantation of a prosthesis on the aortic arch, due to a much extended calcified atheroma which did not allow clamping. Supra-aortic trunk revascularization was done through right femoral-axillary bypass without any post-operative complication. After a four year follow-up, the bypass is still patent. The purpose of this report is to emphasize that such r revascularization, which is rarely reported, must be better known since the implantation of the bypass on the femoral artery leads to patent and durable results.
Etienne
G
G
Unité de Chirurgie vasculaire, Clinique Saint Joseph, Angoulême.
Bertrand
G
G
Constantin
J M
JM
Bulet
P
P
D000368:Aged; D000714:Anastomosis, Surgical; D000792:Angiography; D001013:Aorta, Thoracic / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001366:Axillary Artery; D001807:Blood Vessel Prosthesis; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D000075202:Contraindications; D005260:Female; D005263:Femoral Artery; D006801:Humans; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery
Revascularisation des troncs supra-aortiques à partir de l'artère fémorale.