Thoracobifemoral bypass for infrarenal aortic occlusion caused by retroperitoneal fibrosis

Authors

Kathy K. Wang, Advocate Aurora HealthFollow
Rym El Khoury, Division of Vascular Surgery, University of California, San Francisco, Calif.
Axel Joob, Advocate Aurora HealthFollow
Chad E. Jacobs, Advocate Aurora HealthFollow
John V. White, Advocate Aurora HealthFollow
Lewis B. Schwartz, Advocate Aurora HealthFollow

Recommended Citation

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

Affiliations

Advocate Lutheran General Hospital

Abstract

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.

Document Type

Article

PubMed ID

35330901