Article

Temporary axillo-femoral bypass during open repair for abdominal aortic aneurysm: report of a case.

Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1, Mukogawa-chou, Nishinomiya, Hyogo, 663-8501, Japan.
Surgery Today (impact factor: 1.22). 07/2012; 42(11):1116-8. DOI:10.1007/s00595-012-0263-0 pp.1116-8
Source: PubMed

ABSTRACT Open repair is the "gold standard" treatment for abdominal aortic aneurysm (AAA) and although considered safe, this operation is very invasive for high-risk patients with severe aortic valve stenosis (AS) because the left ventricular after-load changes sharply with the clamping and unclamping of the aorta. We prevented the change in left ventricular after-load by establishing a temporary axillo-bilateral femoral arterial shunt, which enabled us to perform open repair of an AAA safely in a patient with severe AS.

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Keywords

high-risk patients
 
left ventricular after-load changes
 
severe aortic valve stenosis
 
temporary axillo-bilateral femoral arterial
 
unclamping
 
ventricular after-load
 

Shinya Fukui