title: [Axillo-iliac bypass grafting for reoperation of graft stenosis after aortic arch reconstruction of type B interruption of the aortic arch: two cases report].
abstract: Right axillo-iliac bypass grafting was performed in two females (10 and 14 years old) who had stenosis or obstruction of grafts after reconstruction of the aortic arch in type B interruption. The initial bypass operations were carried out at the age of 5 months and 5 years, with the use of a 5-mm EPTFE graft and a 10-mm Dacron graft. Nine years later, the EPTFE graft was completely obstructed, and the Dacron bypass has stenosis, kink and calcification. To minimize surgical invasion, axillo-iliac extra-anatomical bypass was employed in both patients. 8-mm or 10-mm Hemashield grafts were implanted between the right axillar artery and the right common iliac artery through the intrapleural-preperitoneal route, and favourable results were obtained in both patients. The axillo-iliac bypass is considered to be a beneficial conservative method of reoperation for stenosis after graft reconstruction of the aortic arch in the younger age patients.
authors.affiliation: Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tsukuda
authors.forename: K
authors.initials: K
authors.lastname: Tatsuno
authors.forename: E
authors.initials: E
authors.lastname: Mannouji
authors.forename: T
authors.initials: T
authors.lastname: Kikuchi
authors.forename: Y
authors.initials: Y
authors.lastname: Takahashi
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002648:Child; D003251:Constriction, Pathologic; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D012086:Reoperation