THORACIC AORTA-AN EFFECTIVE INFLOW SOURCE FOR LOWER LIMB REVASCULARISATION- A Case Series Study

Volume : VIII, Issue : IV, April - 2018

Dr Ratish Radhakrishnan, Dr. Joseph Thomas Kathayanatt, Dr Aravind S Ganapath

Revascularisation of the lower limb in a patient with occluded infrarenal aorta is a challenging problem especially when

the patient requires concomitant coronary artery bypass. There are very few reports of using thoracic aorta as an inflow

source for lower limb revascularization. With this method a clean aorta with good flow will be available as inflow and tissue dissection is

minimum. All the patients who underwent lower limb revascularization in the department from September 2014 to September 2015 for infrarenal

aortic occlusion were analysed. A retrospective analysis of hospital data was done and all the patients were summoned and reevaluated clinically.

Our follow up period ranged from two months to one year. All patients were symptom free and had pedal pulses. Our study suggests thoracic aorta

as an easy to approach and effective inflow source for lower limb revascularization. Longer follow up and studies are required for further

conclusions.