Temporary axillofemoral bypass: its use in high risk cardiac patients requiring urgent abdominal aneurysm repair.
The creation of a temporary axillofemoral bypass in a patient undergoing surgery for an 8.1 cm symptomatic infrarenal aortic aneurysm is described. This adjunctive procedure, rarely used in abdominal aortic surgery, may have contributed to minimizing variations in afterload in a patient with a 20% ejection fraction and severe mitral regurgitation.
Lossing
A G
AG
Division of Vascular Surgery, Wellesley Hospital, Toronto, Ontario, alossing@hookup.net
Hatswell
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EM
D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery; D001026:Coronary Artery Bypass; D004630:Emergencies; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D013318:Stroke Volume