Extra anatomical bypass grafting for limb salvage: a case report

Abstract

Extra-anatomical bypass grafting is a recognised method of lower limb re-vascularisation in high-risk patients who cannot tolerate aortic cross clamping, or in those with a hostile abdomen1.  Extra-anatomic bypasses are surgical arterial bypass procedures that circumvent the “normal” anatomical pathways. While such procedures can be performed in any vascular bed, the term most frequently is used to describe those bypasses that reroute blood to the lower extremities, avoiding intracavitary procedures3. Initially introduced as alternative revascularization methods in the treatment of peripheral arterial occlusive disease and as techniques for bringing blood back to the lower extremities. Here, we present you a case of Peripheral Arterial Occlusive Disease where an Axillo-Femoral bypass was done.