Abstract
Symptoms of occluded aortic bifurcation are variable and consequently lead to the question "How urgent is the operation?". The diagnostic and therapeutic procedure is analysed retrospectively in 6 patients. The reason for the occlusion was thrombosis or embolism in 3 patients each. A successful bilateral inguinal thrombembolectomy was the standard operative revascularisation. In 2 of 3 emergency cases with critical ischemia the operation was performed without preoperative imaging. 3 patients with non-critical ischemia were operated upon more than 12 hours after rising symptoms. How urgent the operation is depends primarily on the extent of occlusion. In case of critical ischemia a revascularisation can be performed without angiography. However, a more extensive procedure, even a bifemoral bifurcation graft, must be taken into account.
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