Abstract
A 78-year-old man with giant abdominal aortic aneurysm complicated with serious cardiac disease, ventricular septal defect, aortic stenosis and regurgitation, and mitral regurgitation was managed by a woven bifurcated graft under temporary axillo-femoral bypass (Temporary Ax-FB).He suffered left hydronephrosis at admission because the aneurysm, which extended from the abdominal to bilateral common iliac arteris, compressed the left ureter. Future rupture was likely becasuse dilatation was 8 cm in width.At operation we used the Temporary Ax-FB with the intention of decompressing the heart tolerance at aortic cross clamping and declamping.Blood pressure increased transiently by 40 mmHg at aortic cross clamping, but decreased 40 mmHg after 10 minutes, and did not change at aortic cross declamping.We achieved satisfactory results with this method and confirmed the usefulness of Temporary Ax-FB in a patient with extensive abdominal aortic aneurysm complicated with other cardiac disorders.
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