title: Primary bypass surgery from the descending aorta to the iliac arteries for a severely calcified aorta: report of two cases.
abstract: We herein report two patients with end-stage renal failure who complained of disabling claudication due to abdominal aortic atherosclerosis. Both were on chronic hemodialysis for more than 15 years, and their abdominal aorta was densely calcified. We elected to perform a descending aorta to iliac artery bypass in order to avoid hazardous clamping of the calcified aorta. Hemodialysis was able to be resumed on the first postoperative day. They tolerated the operation well and their symptoms disappeared. This operative procedure is therefore considered to be a useful option for patients with a porcelain aorta who are on chronic hemodialysis.
authors.affiliation: Department of Surgery, Saitama Medical Center, 1981 Kamoda, Kawagoe, 350-8550, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Sato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okamoto
authors.forename: Harunobu
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Kouji
authors.initials: K
authors.lastname: Ogata
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kondoh
mesh_terms: D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis