Open Surgical Revascularization of Chronic Total Occlusion of the Infrarenal Aorta

Dragan Piljic,Tarik Bakalovic,Fahrudin Sabanovic,Dilista Piljic,Amar Skakic,Mustafa Tabakovic,Nail Sehic,Alen Hajdarevic,Mate Petricevic,Mirza Tokic,Almir Kusturica,Gordan Galic

doi:10.15761/hpc.1000176

Abstract

Open Surgical Revascularization of Chronic Total Occlusion of the Infrarenal Aorta

Highlights

A 46-year-old male, with a history of hypertension and peripheral vascular disease was referred to our hospital for conventional open surgical treatment
The patient was transfered to the department of cardiovascular surgery on the postoperative day one
In patients presenting with aortoiliac occlusive disease (AIOD), the total occlusion of the infrarenal aorta has been seen in 3 to 8.5% of cases [2]

Summary

Introduction

A 46-year-old male, with a history of hypertension and peripheral vascular disease (including previous unsuccessful attempt endovascular stenting) was referred to our hospital for conventional open surgical treatment. The operation was performed using the transperitoneal approach with limited thrombectomy through infrarenal aortotomy without transecting the aorta. The patient underwent aortic bifemoral revascularisation, with placement of a Dacron bifurcation graft of 12/6 mm. The patient was transfered to the intensive care unit following successful surgical repair.

Results

Conclusion