Descending thoracic aorta to femoral artery bypass has been used as a remedial operation after aortic or axillofemoral graft failure or graft infection and other intra-abdominal pathologies not amenable to standard aortofemoral revascularization. It can avoid abdomen approach and has been known as a durable procedure with excellent long-term patency. We reported descending thoracic aorta to femoral artery bypass grafting for primary revascularization in a 55-year-old male with hostile abdominal conditions.
Use of the descending thoracic aorta as an inflow source in aortoiliac reconstruction: indications and long-term results.
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Kalman PG, Johnston KW, Walker PM. Descending thoracic aortofemoral bypass as an alternative for aortoiliac revascularization. J Cardiovasc Surg (Torino) 1991;32:443-6.
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Passman MA, Farber MA, Criado E, Marston WA, Burnham SJ, Keagy BA. Descending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease? J Vasc Surg 1999;29:249- 58.
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Clinical applications of the supraceliac aorta: anatomical and pathologic observations.
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Regarding "Descending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease?".
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Descending thoracic aorta to femoral artery bypass: surgical technique.
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Supreceliac aorta bypass surgery for juxtarenal aortic occlusive disease: 2 cases