Aortorenal Endarterectomy With Aortobifemoral Bypass For Juxtarenal Aortic Occlusion
Callie E. Dowdy, MD, Matthew F. Carpiniello, MD, Keith D. Calligaro, MD, Matthew J. Dougherty, MD, Douglas A. Troutman, DO.
Pennsylvania Hospital, Philadelphia, PA, USA.
We present a case of juxtarenal aortoiliac occlusion treated with aortorenal thromboendarterectomy and aortobifemoral bypass. The patient was a 61 year old man with minimal medical comorbidities who presented with severe lifestyle limiting bilateral buttock and thigh claudication. He was subsequently found to have occlusive disease from the superior mesenteric artery origin through the bilateral common iliac arteries. Due to his young age, relative physical fitness and extensive occlusive disease, we elected to proceed with open surgical treatment. Operative details are discussed with the goal of highlighting technique of this rarely seen open approach to the challenging problem of aortoiliac occlusion involving the visceral segment.
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