title: Temporary axillo-femoral bypass during open repair for abdominal aortic aneurysm: report of a case.
abstract: Open repair is the "gold standard" treatment for abdominal aortic aneurysm (AAA) and although considered safe, this operation is very invasive for high-risk patients with severe aortic valve stenosis (AS) because the left ventricular after-load changes sharply with the clamping and unclamping of the aorta. We prevented the change in left ventricular after-load by establishing a temporary axillo-bilateral femoral arterial shunt, which enabled us to perform open repair of an AAA safely in a patient with severe AS.
authors: Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1, Mukogawa-chou, Nishinomiya, Hyogo, 663-8501, Japan.
authors: Shinya
authors: S
authors: Fukui
authors: Masataka
authors: M
authors: Mitsuno
authors: Mitsuhiro
authors: M
authors: Yamamura
authors: Hiroe
authors: H
authors: Tanaka
authors: Masaaki
authors: M
authors: Ryomoto
authors: Yuji
authors: Y
authors: Miyamoto
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001366:Axillary Artery / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D004452:Echocardiography / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*