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Temporary axillo-femoral bypass during open repair for abdominal aortic aneurysm: report of a case

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Abstract

Open repair is the “gold standard” treatment for abdominal aortic aneurysm (AAA) and although considered safe, this operation is very invasive for high-risk patients with severe aortic valve stenosis (AS) because the left ventricular after-load changes sharply with the clamping and unclamping of the aorta. We prevented the change in left ventricular after-load by establishing a temporary axillo-bilateral femoral arterial shunt, which enabled us to perform open repair of an AAA safely in a patient with severe AS.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1, Mukogawa-chou, Nishinomiya, Hyogo, 663-8501, Japan

    Shinya Fukui, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Masaaki Ryomoto & Yuji Miyamoto

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  1. Shinya Fukui
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  2. Masataka Mitsuno
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  3. Mitsuhiro Yamamura
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  4. Hiroe Tanaka
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  5. Masaaki Ryomoto
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  6. Yuji Miyamoto
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Corresponding author

Correspondence to Yuji Miyamoto.

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Fukui, S., Mitsuno, M., Yamamura, M. et al. Temporary axillo-femoral bypass during open repair for abdominal aortic aneurysm: report of a case. Surg Today 42, 1116–1118 (2012). https://doi.org/10.1007/s00595-012-0263-0

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  • DOI: https://doi.org/10.1007/s00595-012-0263-0

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