Ascending aortobifemoral and adjunct carotid bypass grafts

Tiago F Ribeiro; Ricardo Correia; Rita Bento; Nelson Camacho; João Monteiro Castro; Maria Emília Ferreira

doi:10.1016/j.jvscit.2023.101203

Ascending aortobifemoral and adjunct carotid bypass grafts

J Vasc Surg Cases Innov Tech. 2023 Jun 19;9(3):101203. doi: 10.1016/j.jvscit.2023.101203. eCollection 2023 Sep.

Authors

Tiago F Ribeiro¹, Ricardo Correia¹, Rita Bento¹, Nelson Camacho¹, João Monteiro Castro¹, Maria Emília Ferreira¹

Affiliation

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

Abstract

We describe a case of simultaneous ascending aortobifemoral and right common carotid artery bypass to treat a symptomatic brachiocephalic artery and juxtarenal chronic total occlusion in a 68-year-old female patient with unfavorable characteristics for endovascular and standard aortofemoral procedures. Mid-term follow-up revealed sustained remission of symptoms, quality of life quality of life improvement, and patent bypass grafts. In highly selected patients, this solution can be useful when treating other intrathoracic diseases, as well as allowing the simultaneous revascularization of two remote arterial beds.

Keywords: Abdominal aorta; Ascending aorta; Brachiocephalic trunk; Chronic total occlusion.

Publication types

Case Reports