Related Experiment Videos
Urological complications following aortofemoral bypass graft
British Journal of Urology
|December 1, 1975
Insights
Ureteral obstruction after aortic femoral bypass grafting is a rare but potentially underrecognized complication. This study highlights cases where the ureter
Area of Science:
- Vascular Surgery
- Urology
- Surgical Complications
Background:
- Aortic femoral bypass grafting is a common procedure for peripheral artery disease.
- Ureteral obstruction is an infrequent complication following this surgery.
- Previous reports typically describe ureteral displacement posterior to the graft.
Observation:
- This study presents three cases of ureteral obstruction secondary to aortic femoral bypass grafting.
- A unique case is detailed where the ureter remained in its normal anatomical position.
- Surgical findings confirmed the ureter's position relative to the aortic femoral bypass prosthesis.
Findings:
- The ureter can cause obstruction even when positioned normally, not just behind the graft.
- Aseptic vascular reconstructive techniques may be preferable to direct ureteral reconstruction for managing this complication.
- The incidence of this complication might be higher than currently documented.
Implications:
- Increased awareness among vascular and urologic surgeons is warranted regarding this potential complication.
- Consideration should be given to the ureter's position during and after aortic femoral bypass grafting.
- Further research may be needed to elucidate the exact mechanisms and optimal management strategies.
Abstract:
3 cases of ureteric obstruction secondary to aortic femoral bypass grafting are presented. This complication has been infrequently reported and we feel that it may be more common than is recognised. In all other published cases the ureter lay behind the prosthesis but the authors present a surgically proved case where the ureter lay in its normal position. The aseptic vascular reconstructive surgical procedures are to be preferred to ureteric reconstruction.