January 1966

Axillary-Femoral Bypass

Author Affiliations

From the surgical service of the Robert B. Green Hospital, San Antonio.

Arch Surg. 1966;92(1):118-119. doi:10.1001/archsurg.1966.01320190120029

TO OBVIATE extensive, time-consum-O ing laparotomy, retroperitoneal dissection, or both required for aortal-femoral bypass, Blaisdell1,2 and Louw3 advocate the use of an axillary-femoral bypass in poor-risk patients. The case of a patient, upon whom this method was used for different indications, is presented here.

Report of Case  A 74-year-old woman was admitted to the Robert B. Green Hospital complaining of intermittent claudication in both lower extremities of two years' duration. She had recently developed rest pain in the right foot sufficiently severe to require narcotics for relief.

Relevant Past History.  —In 1949, a grade 3 squamous carcinoma of the cervix had been diagnosed and treated by radium and x-ray therapy. This was soon followed by development of a rectovaginal fistula for which a permanent double-barrelled sigmoid colostomy was done. The fistula subsequently closed; the carcinoma has shown no further evidence of growth or spread.

Physical Examination.  —Examination revealed

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