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September 1974

The Aortofemoral Bifurcation GraftA Useful Extension

Author Affiliations

From the departments of surgery and research, Hines Veterans Administration Hospital, Hines, Ill, and Loyola University Medical Center, Maywood, Ill (Dr. Graziano).

Arch Surg. 1974;109(3):452-453. doi:10.1001/archsurg.1974.01360030104028

Twelve patients suffering aortoiliac occlusive disease and superficial femoral artery occlusion have undergone placement of modified aortobifemoral Dacron grafts. The modification consisted of a short Dacron tube (5 cm in length and 8 mm in diameter) sutured to the limb of the bifurcation graft, 2 cm beneath the inguinal ligament. Seven patients have subsequently required unilateral femoropopliteal bypasses to relieve their continuing claudication. The proximal anastomosis of the femoropopliteal bypass was made between a segment of saphenous vein and the previously placed Dacron extension graft. The primary advantage of this procedure is a marked reduction in the dissection needed at the groin level.