Management of inflammatory aneurysm of the infrarenal aorta using retroperitoneal exposure, open aneurysmorrhaphy and descending aorta-to-femoral artery bypass.
The authors present a technique consisting of retroperitoneal exposure, but not dissection of the inflammatory aneurysm, anastomosis of a bypass graft through a short thoracotomy to the lowermost thoracic aorta, carrying it down retroperitoneally to both femoral arteries and under brief occlusion of the descending thoracic aorta, opening of the aneurysm and intra-aneurysmal occlusion of the inflow and outflow to the aneurysm. An illustrative case is presented.
Robicsek
F
F
Department of Thoracic and Cardiovascular Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA.
Cook
J W
JW
D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001025:Aortitis / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D012187:Retroperitoneal Space
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates