Thoracobifemoral Bypass for Infrarenal Aortic Occlusion Caused by Retroperitoneal Fibrosis

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2022 Mar 25

PMID 35330901

Authors

Kathy K Wang

Rym El Khoury

Axel Joob

Chad E Jacobs

John V White

Lewis B Schwartz

Affiliations

Soon will be listed here.

Abstract

Retroperitoneal fibrosis (RPF) is an uncommon fibrotic disorder that can cause pain, ureteral obstruction, deep venous thrombosis, hydrocele, and, rarely, aortic occlusion. Herein is described a 65-year-old man with aortic occlusion from idiopathic RPF who was treated with axillobifemoral bypass grafting, which failed in the intermediate term. On representation with critical claudication, he underwent thoracobifemoral bypass grafting via a lateral retroperitoneal tunnel created through a midline, infraumbilical counterincision. He was discharged home on postoperative day 5. This illustrates the successful use of thoracic aortic inflow to treat the aortoiliac occlusive complication of RPF.

References

Vaglio A, Salvarani C, Buzio C . Retroperitoneal fibrosis. Lancet. 2006; 367(9506):241-51. DOI: 10.1016/S0140-6736(06)68035-5. View

Crawford J, Scali S, Giles K, Back M, Fatima J, Arnaoutakis D . Contemporary outcomes of thoracofemoral bypass. J Vasc Surg. 2018; 69(4):1150-1159.e1. PMC: 6433534. DOI: 10.1016/j.jvs.2018.07.053. View

Stewart L, Passman M, Spangler E, Sutzko D, Pearce B, McFarland G . Thoracofemoral bypass outcomes in the Vascular Quality Initiative. J Vasc Surg. 2020; 73(6):1991-1997.e3. DOI: 10.1016/j.jvs.2020.11.039. View

ORMOND J . Bilateral ureteral obstruction due to envelopment and compression by an inflammatory retroperitoneal process. J Urol. 1948; 59(6):1072-9. DOI: 10.1016/S0022-5347(17)69482-5. View

Haynes I, Simon J, West R, HAMER J . Idiopathic retroperitoneal fibrosis with occlusion of the abdominal aorta treated by transluminal angioplasty. Br J Surg. 1982; 69(7):432-3. DOI: 10.1002/bjs.1800690729. View

BARRETT S, Bergamini T, Richardson J . Descending thoracic aortobifemoral bypass: an alternative approach for difficult aortic revascularization. Am Surg. 1999; 65(3):232-5. View

Blaisdell F, DEMATTEI G, GAUDER P . Extraperitoneal thoracic aorta to femoral bypass graft as replacement for an infected aortic bifurcation prosthesis. Am J Surg. 1961; 102:583-5. DOI: 10.1016/0002-9610(61)90568-2. View

Cronin C, Lohan D, Blake M, Roche C, McCarthy P, Murphy J . Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol. 2008; 191(2):423-31. DOI: 10.2214/AJR.07.3629. View

Kalman P . Thoracofemoral bypass: proximal exposure and tunneling. Semin Vasc Surg. 2000; 13(1):65-9. View

10.

McCarthy W, Rubin J, Flinn W, Williams L, Bergan J, Yao J . Descending thoracic aorta-to-femoral artery bypass. Arch Surg. 1986; 121(6):681-8. DOI: 10.1001/archsurg.1986.01400060075010. View

11.

McCarthy W, Mesh C, McMillan W, Flinn W, Pearce W, Yao J . Descending thoracic aorta-to-femoral artery bypass: ten years' experience with a durable procedure. J Vasc Surg. 1993; 17(2):336-47; discussion 347-8. View

12.

Runowska M, Majewski D, Puszczewicz M . Retroperitoneal fibrosis - the state-of-the-art. Reumatologia. 2016; 54(5):256-263. PMC: 5149574. DOI: 10.5114/reum.2016.63667. View

13.

Koksal C, Kocamaz O, Aksoy E, Cakalagaoglu C, Kara I, Yanartas M . Thoracic aortobifemoral bypass in treatment of juxtarenal Leriche syndrome (midterm results). Ann Vasc Surg. 2012; 26(8):1085-92. DOI: 10.1016/j.avsg.2012.04.005. View

14.

van Bommel E, Jansen I, Hendriksz T, Aarnoudse A . Idiopathic retroperitoneal fibrosis: prospective evaluation of incidence and clinicoradiologic presentation. Medicine (Baltimore). 2009; 88(4):193-201. DOI: 10.1097/MD.0b013e3181afc420. View

15.

Rosenfeld J, Savarese R, Delaurentis D . Distal thoracic aorta to femoral artery bypass: a surgical alternative. J Vasc Surg. 1985; 2(5):747-50. View

16.

Kerwin G, Silverstein M, Lewis C . Percutaneous stent treatment for arterial occlusion caused by retroperitoneal fibrosis. AJR Am J Roentgenol. 2000; 175(5):1283-5. DOI: 10.2214/ajr.175.5.1751283. View

17.

Rhee R, Gloviczki P, Luthra H, W Stanson A, Bower T, Cherry Jr K . Iliocaval complications of retroperitoneal fibrosis. Am J Surg. 1994; 168(2):179-83. DOI: 10.1016/s0002-9610(94)80063-4. View

18.

Mathew C, Shanabo A, ZYKA I, Eklof B . Retroperitoneal fibrosis with large-vessel obstruction. An uncommon vascular disorder. Acta Chir Scand. 1985; 151(5):475-80. View

19.

Koksal C, Sarikaya S, Zengin M . Thoracofemoral bypass for treatment of juxtarenal aortic occlusion. Asian Cardiovasc Thorac Ann. 2002; 10(2):141-4. DOI: 10.1177/021849230201000211. View

20.

Kalman P, Johnston K, Walker P . Descending thoracic aortofemoral bypass as an alternative for aortoiliac revascularization. J Cardiovasc Surg (Torino). 1991; 32(4):443-6. View