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July 1979

Ureteral Obstruction Secondary to Bifurcated Aortic Grafts

Author Affiliations

From the Department of Cardiovascular Surgery (Dr Antkowiak) and the Division of Diagnostic Radiology (Dr D'Altorio), Western Pennsylvania Hospital, Pittsburgh.

Arch Surg. 1979;114(7):853-856. doi:10.1001/archsurg.1979.01370310095018

• We report three cases of ureteral obstruction producing hydronephrosis following aortofemoral bypass graft. In each case, the obstruction occurred in the area where the ureter crossed over the limb of a Dacron graft. Ureterolysis relieved the obstruction. Most of the previously reported cases of this complication of bypass surgery occurred when the ureter was situated between the limb of a graft and the patient's own iliac artery. Various methods of surgical approach are listed. In some cases, ureterolysis is a suitable alternative to division and reanastomosis of the ureter to relieve obstruction.

(Arch Surg 114:853-856, 1979)