[Aortobifemoral bypass surgery using aortic balloon occlusion in patients with total aortic calcification]

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Aortic Diseases

Background:

• Abdominal aortic calcification is a significant risk factor in aortoiliac occlusive disease surgery.
• Aortic clamping in calcified aortas increases technical challenges and bleeding risks.
• Leriche syndrome presents unique surgical complexities due to extensive aortic and iliac artery disease.

Purpose of the Study:

• To evaluate aortic balloon occlusion as a method for aortic clamping in patients with severe abdominal aortic calcification.
• To demonstrate the feasibility and safety of aortic balloon occlusion in a patient with Leriche syndrome and total aortic calcification.
• To highlight a technique that mitigates intraoperative bleeding risks during complex aortic interventions.

Main Methods:

• Aortic balloon occlusion was employed as a temporary aortic clamping strategy.
• The procedure was performed in a patient diagnosed with Leriche syndrome and extensive aortic calcification.
• Standard surgical techniques were adapted to incorporate the balloon occlusion device.

Main Results:

• Aortic balloon occlusion successfully facilitated aortic clamping.
• The technique effectively reduced intraoperative bleeding compared to traditional clamping methods.
• The patient tolerated the procedure well, with no immediate complications reported.

Conclusions:

• Aortic balloon occlusion is a viable and effective technique for managing aortic clamping in patients with severely calcified aortas.
• This method offers a significant advantage in reducing bleeding complications during complex aortic surgeries.
• Aortic balloon occlusion represents a valuable adjunct for surgeons managing challenging cases of aortoiliac occlusive disease and Leriche syndrome.