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Angiologia e Cirurgia Vascular
Print version ISSN 1646-706X
Abstract
ABREU, Rodolfo et al. Revascularization of lower limbs from the thoracic aorta: case report. Angiol Cir Vasc [online]. 2015, vol.11, n.1, pp.26-29. ISSN 1646-706X.
The revascularization of the lower limbs from the thoracic aorta, although feasible, is an unusual choice. The authors describe the clinical case of a patient with chronic aortic type B dissection, severe aortic stenosis, coarctation of the aorta at the isthmus, and occlusion of the left external iliac artery. He underwent simultaneous aortic valve replacement and construction of a bypass from the ascending thoracic aorta to both femoral common arteries. The patient was discharged at the 13th postoperative day, and is now being followed. This is a rare and complex procedure possible due to multidisciplinary collaboration between vascular surgeons and cardiothoracic surgeons.
Keywords : Aortic stenosis; Peripheral arterial disease; Chronic aortic type B dissection; Ascending aorta -bifemoral bypass.