title: Combined total arch replacement and bypass from the ascending aorta to the bilateral profunda femoris arteries.
abstract: A 72-year-old woman who had aortic arch aneurysm was admitted. The patient was unable to walk without assistance because of aortoiliac occlusive disease. Total arch replacement and the ascending aorta to the bilateral profunda femoris artery bypass were performed during the same operation. On outpatient visits, the patient was able to walk with a cane and the ankle-brachial pressure index was markedly improved. This combined procedure is an option for patients with aortoiliac occlusive disease who are not candidates for alternate inflow procedures, especially when the patient has another indication for median sternotomy.
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Takashima
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Hayakawa
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Soh
authors.initials: S
authors.lastname: Hosoba
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kinoshita
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kuroyanagi
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Nota
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Suzuki
authors.affiliation: Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
authors.forename: Tohru
authors.initials: T
authors.lastname: Asai
keywords: profunda femoris artery; simultaneous operation; thoracic aneurysm