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Article
March 1953

THROMBOSIS OF THE AORTIC BIFURCATION TREATED BY RESECTION AND HOMOGRAFT REPLACEMENTReport of Five Cases

Author Affiliations

PARIS, FRANCE
From the Department of Surgery, Postgraduate Medical School, London.; From the Surgical Service of Professor Henri Mondor, Salpêtrière Hospital, Paris.

AMA Arch Surg. 1953;66(3):365-374. doi:10.1001/archsurg.1953.01260030380012
Abstract

Le traitement idéal consisterait evidemment à réséquer la zone obliterée et à rétablir si possible la perméabilité artérielle.—Leriche.1

THE IDEAL treatment of arterial thrombosis is the replacement of the obliterated segment with a vascular graft. With this thought in mind, we have tackled the problem of insidious thrombosis of the aortic bifurcation. Five patients with this condition have been treated during the last two years, the aortic bifurcation being replaced by a homograft. The results are encouraging. To the best of our knowledge these are the first successful cases of this type, and the details are worth recording.

PREOPERATIVE CONSIDERATIONS  Once the diagnosis of thrombosis of the aortic bifurcation is made and confirmed by an aortogram, three points must be considered before grafting is decided upon: (a) the general condition of the patient, (b) the patency of the large arteries of the thigh and calf below the block, and

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