Disruption of the proximal anastomosis of axillobifemoral grafts: Two case reports

Abstract

The use of axillobifemoral grafting in the treatment of infected aortic prostheses or in the treatment of patients at high risk for aortoiliac occlusive disease has become a widely accepted treatment modality. Few complications involving the proximal anastomosis have been reported. The present report describes two patients who suffered proximal anastomotic dehiscence several weeks after surgery when they fully extended and raised the affected arm.

Aortoiliac Occlusive Disease

“…It is important to ensure adequate outflow. (72) It is very important to confirm distal flow using continuous-wave Doppler after the anastomoses are completed and all clamps are removed. It is also essential to ensure adequate blood flow in the donor arm beyond the axillary anastomosis.…”