Extra-Anatomic Bypass to the Distal Profunda Femoris Artery
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Initial attention to the surgical importance of the Profunda Femoris Artery (PFA) in the revascularization of ischemic limbs was brought to light more than fifty years ago by Leeds and Gilfillan. Since then PFA has been an important option for lower limb revascularization and limb salvage. In patients who had been submited to multiple previous operations, surgical access to the groin may be hampered by scarring and sometimes by local infection. Therefore, access to the distal PFA may be needed when there is lack of usual distal runoff .We present the case of a 62 year old man with a history of progressive gangrene of the right forefoot. The patient had occlusion of the right iliac and common femoral arteries and had undergone several operations in the last eight months. First, he had been submitted to an iliac-femoral endarterectomy, followed by a thrombectomy few days later. It was not successful and he was submitted to a common iliac to PFA bypass using a prosthetic graft. Few days later, due to a severe infection the graft was removed and a common iliac to poplitea artery bypass was performed using the ipsilateral great saphenous vein....

http://vascular-endovascular-surgery.imedpub.com/extraanatomic-bypass-to-the-distal-profunda-femoris-artery-using-autogenous-graft.php?aid=18603
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