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Ascending aortobifemoral and adjunct carotid bypass grafts

Tiago F Ribeiro1, Ricardo Correia1, Rita Bento1

  • 1Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.

Journal of Vascular Surgery Cases and Innovative Techniques
|August 28, 2023
PubMed

Insights

This case study presents a simultaneous aortobifemoral and carotid artery bypass for complex arterial blockages. The procedure successfully restored blood flow and improved patient quality of life.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Interventions
  • Surgical Case Report

Background:

  • A 68-year-old female presented with symptomatic brachiocephalic artery and juxtarenal chronic total occlusion.
  • The patient had unfavorable characteristics for traditional endovascular and standard aortofemoral bypass procedures.

Observation:

  • A simultaneous ascending aortobifemoral and right common carotid artery bypass was performed.
  • The patient had complex, extensive arterial disease affecting multiple major vessels.

Findings:

  • Mid-term follow-up demonstrated sustained symptom remission and improved quality of life.
  • All bypass grafts remained patent, indicating successful revascularization.
  • The surgical approach allowed simultaneous treatment of two distinct arterial beds.

Implications:

  • This combined surgical technique offers a viable solution for highly selected patients with complex aortoiliac and carotid disease.
  • The procedure may be beneficial for patients requiring treatment for concurrent intrathoracic conditions.
  • Simultaneous revascularization of remote arterial territories is achievable with this approach.

Keywords:
Abdominal aortaAscending aortaBrachiocephalic trunkChronic total occlusion

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