Descending thoracic aorta to bifemoral by-pass graft without laparotomy

Various extra-anatomic by-passes have been described to revascularize lower extremities when conventional aorto-femoral bypass is either not feasible or contraindicated. The technique of descending thoracic aorta to bifemoral by-pass graft obviates the need of a laparotomy and accomplishes revascularization of the lower extremities. There is less blood and fluid loss, reduced operating time and rather fast recuperation after operation. Experience in eight cases suggests that thoracic aorta to bifemoral by-pass graft is an attractive alternative in patients where conventional aorto-femoral by-pass is not feasible and in patients where a previous by-pass graft has failed.