Extra-anatomical Aortobifemoral Bypass for Juxtarenal Aortic Occlusion

AbstractWe report a 69-year-old man with juxtarenal aortic occlusion who presented with rest pain in both lower extremities. One year previously, he had undergone low anterior resection for rectal cancer complicated by a postoperative anastomotic leak, which had healed after drainage of the abscess. Conventional aortobifemoral bypass could lead to possible complications of ureteral and vascular injury, and graft infection. Therefore, we performed an extra-anatomical aortobifemoral bypass, avoiding the left side of the previously contaminated pelvic cavity. This procedure prevents the proximal propagation of thrombus and is considered to be hemodynamically equivalent to a conventional aortobifemoral bypass