Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis
Wang KK, El Khoury R, Joob A, Jacobs CE, White JV, Schwartz LB. Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis. J Vasc Surg Cases Innov Tech. 2022;8(2):132-135. Published 2022 Jan 26. doi:10.1016/j.jvscit.2022.01.005
Retroperitoneal fibrosis (RPF) is an uncommon fibrotic disorder that can cause pain, ureteral obstruction, deep venous thrombosis, hydrocele, and, rarely, aortic occlusion. Herein is described a 65-year-old man with aortic occlusion from idiopathic RPF who was treated with axillobifemoral bypass grafting, which failed in the intermediate term. On representation with critical claudication, he underwent thoracobifemoral bypass grafting via a lateral retroperitoneal tunnel created through a midline, infraumbilical counterincision. He was discharged home on postoperative day 5. This illustrates the successful use of thoracic aortic inflow to treat the aortoiliac occlusive complication of RPF.