[MÖB-04] Demonstrative Thoracofemoral Extra-Anatomic Bypass: A Good Choice for Patients with High Risk for Laparotomy

Area of Science:

• Vascular Surgery
• Cardiovascular Medicine
• Surgical Innovation

Background:

• Extra-anatomic bypasses are typically reserved for high-risk patients due to variable success rates.
• Peripheral artery disease (PAD) poses significant challenges, especially in patients unsuitable for traditional abdominal surgery.

Purpose of the Study:

• To present a case study of a thoracofemoral bypass in a patient with severe PAD and multiple comorbidities.
• To evaluate the efficacy and safety of an extra-anatomic thoracic aorta to femoral artery bypass.

Main Methods:

• A 50-year-old male patient with severe PAD, chronic occlusions, and renal failure underwent a thoracofemoral bypass using a Dacron graft.
• The procedure involved anastomosing the graft to the thoracic aorta and the left common femoral artery.

Main Results:

• Immediate resolution of claudication symptoms post-surgery.
• Regression of gastrointestinal symptoms within the first postoperative day.
• Palpable lower extremity pulses at one-year follow-up, despite avoiding contrast imaging due to renal dysfunction.

Conclusions:

• Thoracic aorta to femoral artery bypass is a feasible and safe alternative for PAD patients with high laparotomy risks.
• This extra-anatomic approach can effectively restore lower extremity perfusion and improve quality of life.