Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2009 , Vol 18 , Issue 1
Juxtarenal Leriche Sendromunun Tedavisinde Torakofemoral Bypas
Cengiz KÖKSAL1, Özgür KOCAMAZ1, Ali FEDAKAR1, Yasin AY1, Mustafa SAĞLAM2, Hasan SUNAR1
1Kalp ve Damar Cerrahisi Kliniği, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul
2Kardiyoloji Kliniği, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, İstanbul
Using the infrarenal segment of abdominal aorta as a source of inflow is the choice of therapy in surgical management of Leriche syndrome. This intended source, however, can only be provided by thromboendarterectomy in juxtarenal Lerich syndrome in which abdominal aorta is occluded through renal arteries. On the other hand, because renal artery embolism during thromboendarterectomy of infrarenal aorta is a serious complication, alternative extraanatomic surgical procedures may be considered. Axillary artery may be considered as a source of inflow but reported rates of long term patency are fairly low. Instead, thoracic aorta is increasingly used as a source of inflow in recent years. We performed an extraanatomic thoraco-bifemoral bypass in a patient with juxtrarenal Leriche syndrome in order to avoid risk of renal arterial embolization. Keywords : Leriche syndrome, vascular surgical procedures
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