[Revascularization of the lower limbs starting from the descending thoracic aorta]

A rarely reported method for revascularization of lower limbs is the use of descending thoracic aorta and a prosthesis passing through the subpleural and subperitoneal tissues. It is nevertheless a valuable procedure in patients in good general condition in whom there is a local contraindication to the abdominal approach. It appears to be more reliable in the long term than a conventional axillofemoral shunt.