CHRONIC JUXTARENAL TOTAL AORTIC OCCLUSIONS
Mustafa Şırlak, Sadık Eryılmaz, Levent Yazıcıoğlu, Zeynep Eğileten, Serkan Durdu, Neyyir Tuncay Eren, Refik Taşöz, Atilla Aral, Bülent Kaya, Hakkı Akalın
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Abstract
in ali patients the surgical procedure performed was aortabifemoral bypass, in order to obtain direcı aortic revascu larisation. Proksimal anastomoses were end ıo end in 11 patients, and in 3 patients, whose lesions were at the back side of aorta, were end to side. Distal anastomoses were performed as direct anastomoses to femoral artery or pro fundoplasty. Dacron or PTFE were used as graft material.
There were no operative mortality. The patients were followed up lora median of 47+ 4.3 months. There was 1 late death. Grafts were found to be patent in periodical controls.
We concluded that: in almost ali patients with chronic juxtarenal total aortic occlusion, the cause of the proximal occ lusive lesion was secondary thrombus and the surgical treatment of this lesion consist of thrombectomy and rutin graft implantation.
Keywords : Aortic; occlusion; juxtarenal; adult