Chinese Medical Sciences Journal ›› 2010, Vol. 25 ›› Issue (4): 233-236.doi: 10.1016/S1001-9294(11)60008-4

• Original Article • Previous Articles     Next Articles

Thoraco-abdominal aorta revascularization through a retroperitoneal approach

Yue-hong Zheng1*, KunYu2, Jie-feng Zhang3*, Nim Choi4, Hong-ru Deng4, and Furtado Rui4   

  1. 1Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
    2Department of Extracorporeal Circulation, Fuwai Hospital, Beijing 100037, China
    3Department of Vascular Surgery, Weifang People’s Hospital, Shandong 261041, China 
    4Department of General Surgery, Cir Gen/Vas, Central Hospital Centre S. Januario, Macau, China
  • Received:2010-03-26 Online:2010-12-20 Published:2010-12-20
  • About author:*Correspondingauthors Yue-hongZheng Tel: 86-10-88068231, E-mail:yuehongzheng@yahoo.com; Jie-feng Zhang

Abstract: Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macau who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion. Results No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation. Conclusion Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications.

Key words: aorta, retroperitoneal approach, revascularization

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