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Extra – anatomic bypass for abdominal aortic disease in the era of endovascular: A Case Series
Abstract
The term “extra – anatomic bypass” refers to deliberate avoidance of the natural anatomic route for vascular pathway. Common types of extra – anatomic bypass include axillofemoral and femorofemoro bypasses and their combination, being known as axillobifemoral bypass. There are 2 main purposes for doing so which are: to avoid “hostile” intra-abdominal pathology and to avoid higher risk of transabdominal reconstruction in patients with serious visceral or systemic diseases. We report our case series of extra – anatomic bypass for management of complicated abdominal aortic diseases, namely aortoiliac occlusive disease, chronic contained ruptured aneurysm, mycotic aneurysm, and lastly infected penetrating aortic ulcers. Our case series demonstrated extra – anatomic bypass as suitable operative modality for the abovementioned diseases.