Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis

Kathy K Wang; Rym El Khoury; Axel Joob; Chad E Jacobs; John V White; Lewis B Schwartz

doi:10.1016/j.jvscit.2022.01.005

Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis

J Vasc Surg Cases Innov Tech. 2022 Jan 26;8(2):132-135. doi: 10.1016/j.jvscit.2022.01.005. eCollection 2022 Jun.

Authors

Kathy K Wang¹, Rym El Khoury², Axel Joob¹, Chad E Jacobs¹, John V White¹, Lewis B Schwartz¹

Affiliations

¹ Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, Ill.
² Division of Vascular Surgery, University of California, San Francisco, Calif.

Abstract

Retroperitoneal fibrosis (RPF) is an uncommon fibrotic disorder that can cause pain, ureteral obstruction, deep venous thrombosis, hydrocele, and, rarely, aortic occlusion. Herein is described a 65-year-old man with aortic occlusion from idiopathic RPF who was treated with axillobifemoral bypass grafting, which failed in the intermediate term. On representation with critical claudication, he underwent thoracobifemoral bypass grafting via a lateral retroperitoneal tunnel created through a midline, infraumbilical counterincision. He was discharged home on postoperative day 5. This illustrates the successful use of thoracic aortic inflow to treat the aortoiliac occlusive complication of RPF.

Keywords: Aortic occlusion; Retroperitoneal fibrosis; Thoracobifemoral bypass.

Publication types

Case Reports