title: Axillobifemoral Bypass for Aortitis Syndrome in a Living-Donor Liver Transplant Patient.
abstract: A 64-year-old female patient with aortitis syndrome presented with progressive intermittent claudication for 6 months. Her medical history was notable for living-donor liver transplantation for primary biliary cirrhosis 4-years prior and chronic immunosuppressive therapy. Evaluation included normal laboratory examination, and contrast-enhanced computed tomography angiography which demonstrated severely calcified descending aorta with high-grade stenosis below the diaphragm. The patient was treated by axillobifemoral bypass using an 8-mm ringed expanded polytetrafluoroethylene graft under general anesthesia. Medical management included decreased preoperative doses of immunosuppressants and predonisolone, which were resumed after the operation, and chronic anticoagulation. There were no postoperative complications.
authors.affiliation: Department of Cardiovascular Surgery and Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.affiliation: Department of Cardiovascular Surgery and Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Uryuhara
authors.affiliation: Department of Cardiovascular Surgery and Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Koyama
keywords: aortitis syndrome; axillobifemoral bypass; living-donor liver transplant