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01-11-2012 | Case Report

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

Authors: Shinya Fukui, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Masaaki Ryomoto, Yuji Miyamoto

Published in: Surgery Today | Issue 11/2012

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.

Inuzuka K, Unno N, Yamamoto N, Sagara D, Suzuki M, Nishiyama M, et al. Assessment of pelvic hemodynamics during an open repair of an infrarenal abdominal aortic aneurysm. Surg Today. 2010;40:738–44.PubMedCrossRef

Tamburiono C, Capodanno D, Ramondo A, Petronio AS, Ettori F, Santoro G, et al. Incidence and predictors of early and late mortality after transcatheter aortic valve implantation in 663 patients with severe aortic stenosis. Circulation. 2011;123:299–308.CrossRef

Odell JA, Mullancy CJ, Schaff HV, Orszulak TA, Daly RC, Morris JJ. Aortic valve replacement after previous coronary artery bypass grafting. Ann Thorac Surg. 1996;62:1424–30.PubMedCrossRef

Battellini R, Rastan AJ, Fabricius A, Moscoso-Luduena M, Lachmann N, Mohr FW. Beating heart aortic valve replacement after previous coronary artery bypass surgery with a patent internal mammary artery graft. Ann Thorac Surg. 2007;83:1206–9.PubMedCrossRef

Fillinger MF, Marra SP, Raghavan ML, Kennedy FE. Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter. J Vasc Surg. 2003;37:724–32.PubMedCrossRef

EVAR trial participants. Endovascular aneurysm versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005;365:2179–86.CrossRef

Neglen P. A new temporary shunt: its use in surgery of the abdominal aorta. J Cardiothorac Surg (Torino). 1988;29:205–7.

Johansson M, Nozohoor S, Kimblad PO, Harnek J, Olivecrona GK, Sjogren J. Transapical versus transfemoral aortic valve implantation: a comparison of survival and safety. Ann Thorac Surg. 2011;91:57–63.PubMedCrossRef

Lossing AG, Hatswell EM. Temporary axillofemoral bypass: its use in high risk cardiac patients requiring urgent abdominal aneurysm repair. Can J Cardiol. 1996;12:467–8.PubMed

10.

Kanemitsu S, Shimono T, Onoda K, Shimpo H. Temporary axillo-femoral bypass for abdominal aortic aneurysm repair in high risk patients. Ann Thorac Cardiovasc Surg. 2006;12:71–3.PubMed

Title: Temporary axillo-femoral bypass during open repair for abdominal aortic aneurysm: report of a case
Authors: Shinya Fukui
Masataka Mitsuno
Mitsuhiro Yamamura
Hiroe Tanaka
Masaaki Ryomoto
Yuji Miyamoto
Publication date: 01-11-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 11/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0263-0

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

Abstract

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Abstract

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