AORTOBIFEMORAL BYPASS-GRAFTING BY MINI-LAPAROTOMY - CASE-REPORT

We performed aorto-bifemoral bypass by mini-laparotomy for an 80-year- old patient complaining of intermittent claudication. Angiography reve aled multiple stenosis of the bilateral iliac arteries. Computed tomog raphy did not demonstrate any calcification of the lower abdominal aor ta. For mini-laparotomy, a 7 cm medial skin incision and bilateral 3 c m inguinal skin incisions were made. After the retroperitoneum was inc ised, an aorto-bilateral femoral artery bypass route was created by bl unt finger dissection. Aorto-bifemoral artery bypass grafting was easi ly performed in a routine fashion. The patient did not complain of sev ere post-operative wound pain, and could eat on the 2nd post-operative day. We recommend this method of mini-laparotomy for distal anastomos is involving the common femoral artery in the selected cases with no a dvanced atherosclerotic changes at the proximal anastomosis site.