Unstable patients might benefit from stent graft (Level 4, Recommendation C); stable patients with aortoenteric fistula should receive staged procedure with extra-anatomic
bypass first (Level 2c, Recommendation B); and finally stable patients without aortoenteric fistula (patients that do not have direct communication between proximal anastomosis and bowel but infected paraanastomotic sinus) should receive in situ revascularization using autogenous superficial femoral vein or aortoiliac allograft (Level 2c, Recommendation C) (2).
An extra-anatomic femorofemoral bypass graft was constituted surgically in order to cure the claudication.
Therefore, stent graft explantation, extensive surgical debridement, aortic ligation, and extra-anatomic right axillofemoral bypass graft reconstruction were performed.
Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic
repair in 33 cases.
The vascular defect can be repaired by an open approach: local reconstruction, ligature of the vessel with or without extra-anatomic
reconstruction (this reconstruction includes a femoro-femoral crossover bypass).
7) Therefore, the authors of recently published treatment algorithms advocate endovascular therapy as a temporizing measure to stabilize the patient until the surgeon can perform a further workup to determine the risk of a cerebrovascular accident after occlusion or the need for an extra-anatomic
This operation should be considered as an alternative extra-anatomic
reconstructive procedure in patients with the appropriate anatomy and who are not candidates for more standard types of vascular reconstruction.
Extra-anatomic CABG procedures even with or without CPB are safe and reliable in patients with severely atherosclerotic (porcelain) ascending aorta to minimize the prevalence of perioperative stroke and systemic embolization (12).
Extra-anatomic coronary artery bypass graftings in patients with porcelain aorta.