title: Extended aortic bypass for atherosclerotic occlusive disease of high abdominal aorta.
abstract: We describe a case of acute renal failure caused by extension of an atherosclerotic occlusive process to the suprarenal aorta. A 68-year-old man underwent bypass grafting from the ascending aorta to the femoral arteries using straight and Y-grafts. Additional saphenous vein grafts were placed from the intra-abdominal portion of the graft to the left and right renal arteries and the splenic artery. As a consequence, relief of limb ischemia was achieved and dialysis could be discontinued.
authors.affiliation: Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan. cvsokamoto@yokkaichihp01.jp
authors.forename: H
authors.initials: H
authors.lastname: Okamoto
authors.forename: A
authors.initials: A
authors.lastname: Tamenishi
authors.forename: Y
authors.initials: Y
authors.lastname: Itoh
authors.forename: T
authors.initials: T
authors.lastname: Niimi
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery; D050197:Atherosclerosis / Q000601:surgery*; D006801:Humans; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods