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June 1959

Extensive Aortic-Iliac-Femoral Grafting: Report of Three Cases

Author Affiliations

Nashville, Tenn.
From the Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, New York.

AMA Arch Surg. 1959;78(6):937-945. doi:10.1001/archsurg.1959.04320060125018

There are many reports of grafts from the aorta to the femoral vessels in the thighs, and we have used this graft several times where anastomosis to the iliac vessels within the abdomen was impossible or appeared likely to become thrombosed. Unilateral extension of a bifurcation graft down to the popliteal artery has been reported by Crawford, Creech, Cooley, and De Bakey1; by Linton and Menendez,5 the latter reporting healing of a shin ulcer after grafting, and by Laufman, Hohf, Bernhard, and Trippel.4 The problems connected with graft replacement of the distal aorta and the femoropopliteal system simultaneously prompt this discussion of experience, since further need for such a procedure will undoubtedly occur.

Report of Cases 

Case 1.  —A 47-year-old white man had been followed for several years elsewhere because of peripheral vascular disease, for which a bilateral lumbar sympathectomy had been performed in 1950, with a

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