title: Novel single-stage operation and inflow source: for thoracic aortic aneurysm and limb ischemia.
abstract: Patients with thoracic aortic aneurysms sometimes also have peripheral vascular disease. In such cases, staged operations are usually performed in order to avoid additional morbidity. We have achieved good long-term outcomes in 2 patients with use of a single-stage surgical technique. Our novel procedure uses a pre-sewn side branch with a Dacron graft as the inflow source for the aortofemoral bypass during thoracic aortic aneurysm repair. As of 25 and 52 months' follow-up, these grafts were patent in our 2 patients. We believe that this procedure is a safe and easy single-stage operation that achieves favorable patency. To our knowledge, this is the first report to document the use of a pre-sewn perfusion branch of a Dacron graft as an inflow source for aortofemoral bypass.
authors.affiliation: Department of Cardiovascular Surgery, Ashikaga Red-Cross Hospital, Tochigi 326-0808, Japan. hiroyukikawajiri607023@gmail.com
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kawajiri
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Mochizuki
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kashima
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates