title: Total Occlusion of Abdominal Aortic Endograft Successfully Treated with Axillobifemoral Bypass.
abstract: We report a case of total occlusion of a Zenith bifurcated stent graft 16 months after implantation. A 72-year-old man was admitted to our hospital complaining of bilateral lower extremity numbness, followed by severe rest pain 4 h after sudden onset of symptoms. Computed tomography showed total occlusion of the endograft at the mid-portion of the main body. He underwent left axillobifemoral bypass using a reinforced polytetrafluoroethylene T-shaped graft, leading to resolution of symptoms 7 h after onset. Axillobifemoral bypass successfully relieved acute lower extremity ischemia caused by total occlusion of the abdominal aortic endograft.
authors.affiliation: Department of Cardiovascular Surgery, Saitama Red Cross Hospital, Saitama, Saitama, Japan.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Shirasugi
authors.affiliation: Department of Cardiovascular Surgery, Saitama Red Cross Hospital, Saitama, Saitama, Japan.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Kimura
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Yuri
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Nomura
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamaguchi
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Adachi
authors.affiliation: Department of Cardiovascular Surgery, Saitama Red Cross Hospital, Saitama, Saitama, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Morita
keywords: abdominal aortic endograft; axillobifemoral bypass; total occlusion