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September 1974

The Aortofemoral Bifurcation Graft: A 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.

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