Extra anatomical bypass grafting for limb salvage: a case report

Authors

  • R. Muralidhar Department of Surgery, Jupiter Hospital and Institute of Vascular Surgery, Bangalore, Karnataka, India
  • Suraj Muralidhar Department of General Surgery, Mysore Medical College, Mysuru, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20173693

Keywords:

Bypass, Extra-anatomical, Limb salvage

Abstract

Extra-anatomical bypass grafting is a recognised method of lower limb re-vascularisation in high-risk patients who cannot tolerate aortic cross clamping, or in those with a hostile abdomen1.  Extra-anatomic bypasses are surgical arterial bypass procedures that circumvent the “normal” anatomical pathways. While such procedures can be performed in any vascular bed, the term most frequently is used to describe those bypasses that reroute blood to the lower extremities, avoiding intracavitary procedures3. Initially introduced as alternative revascularization methods in the treatment of peripheral arterial occlusive disease and as techniques for bringing blood back to the lower extremities. Here, we present you a case of Peripheral Arterial Occlusive Disease where an Axillo-Femoral bypass was done.

References

Freeman NE, Leeds FH. Operations on large arteries; application of recent advances. Calif Med. 1952;77:229-33.

Blaisdell FW, Hall AD. Axillary-femoral artery bypass in lower extremity ischaemia. Surg. 1963;54:563-8.

Hertzer NR, Bena JF, Karafa MT. A personal experience with direct reconstruction and extra-anatomic bypass for aortoiliofemoral occlusive disease. J Vasc Surg. 2007;45:527-35.

Cuschieri RJ, Gilmour DG, Leiberman DP. Extra-anatomic bypass grafts for severe lower limb ischaemia. J R Coll Edinb. 1988;33:84-7.

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Published

2017-08-24

Issue

Section

Case Reports