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Journal of Cardiothoracic Surgery

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01-12-2020 | Aortoiliac Occlusive Disease | Case report

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

Authors: Kang She, Xiansheng Zhang, Jie Yin, Gong Cheng, Xiangrong Chen, Yufei Zhang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2020

Abstract

Introduction

We treated a patient with late-stage unilateral bypass thrombosis after bilateral axillary-femoral bypass with lateral axillary-profunda femoris artery (LAx-PF) bypass.

Case presentation

A 64-year-old male patient was admitted to our hospital for acute left lower limb ischemia. Six years ago, he underwent bilateral axillary-femoral bypass due to Leriche syndrome. On emergency admission, thrombosis of the left bypass vessel was identified. Blood flow could not be restored due to failure to restore patency of the proximal and distal anastomosis of the left bypass vessel during surgery. We performed LAx-PF bypass surgery to successfully rescue the limb, which was on the verge of necrosis.

Conclusion

If thrombectomy cannot restore blood flow in the previous axillary-femoral bypass, LAx-PF bypass is an easy procedure to rescue the ischemic limb.

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Title: Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass
Authors: Kang She
Xiansheng Zhang
Jie Yin
Gong Cheng
Xiangrong Chen
Yufei Zhang
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Aortoiliac Occlusive Disease
Thrombosis
Thrombectomy
Published in: Journal of Cardiothoracic Surgery / Issue 1/2020
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-020-01232-w

At a glance: The STEP trials

Springer Medicine

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

Abstract

Introduction

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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