Abstract
When acute thrombosis of the abdominal aorta occurs in a comatose patient, direct examination of the intraabdominal organs becomes mandatory. Once a laparotomy has been performed, media calcinosis of the infrarenal aorta is a contraindication to its use as an inflow source. We describe a technique for exposing the thoracic aorta through the abdomen, which obviates the need for a thoracoabdominal incision in such critically ill patients.
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- Barral X., Youvarlakis P., Boissier C., Cavallo G. Supraceliac aorta-to-lower extremity arterial bypass. Ann Vasc Surg. 1986 May;1(1):30–35. doi: 10.1016/S0890-5096(06)60699-7. [DOI] [PubMed] [Google Scholar]
- Buxton B., Reul G., Jr, Cooley D. A. Transdiaphragmatic approach to the descending thoracic aorta for proximal control during surgery on the abdominal aorta. Am J Surg. 1978 May;135(5):726–727. doi: 10.1016/0002-9610(78)90150-2. [DOI] [PubMed] [Google Scholar]
- Canepa C. S., Schubart P. J., Taylor L. M., Jr, Porter J. M. Supraceliac aortofemoral bypass. Surgery. 1987 Mar;101(3):323–328. [PubMed] [Google Scholar]
- Frazier O. H., Oalmann M. C., Strong J. P., Cooley D. A. Clinical applications of the supraceliac aorta: anatomical and pathologic observations. J Thorac Cardiovasc Surg. 1987 Apr;93(4):631–633. [PubMed] [Google Scholar]
- Gloviczki P., Cross S. A., Stanson A. W., Carmichael S. W., Bower T. C., Pairolero P. C., Hallett J. W., Jr, Toomey B. J., Cherry K. J., Jr Ischemic injury to the spinal cord or lumbosacral plexus after aorto-iliac reconstruction. Am J Surg. 1991 Aug;162(2):131–136. doi: 10.1016/0002-9610(91)90174-c. [DOI] [PubMed] [Google Scholar]
- Nevelsteen A., Suy R. Supraceliac aorta-to-femoral artery bypass: a case report. Acta Chir Belg. 1991 May-Jun;91(3):137–139. [PubMed] [Google Scholar]
- Roizen M. F., Beaupre P. N., Alpert R. A., Kremer P., Cahalan M. K., Shiller N., Sohn Y. J., Cronnelly R., Lurz F. W., Ehrenfeld W. K. Monitoring with two-dimensional transesophageal echocardiography. Comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion. J Vasc Surg. 1984 Mar;1(2):300–305. [PubMed] [Google Scholar]