Aorto-bi-Femoral Bypass for Juxtarenal Aortic Occlusion in a Patient with Multiple Co-Morbidities: Report of a Challenging Case

AHM Bashar, S Samad, ASMI Hossain, MN Sabah, K Hasan, M Alauddin

Aorto-bi-femoral bypass for aorto-iliac occlusive disease is a fairly common procedure in vascular surgical
practice. The procedure, despite its extensive nature, is generally well tolerated particularly by those
having an infrarenal type of aortic occlusion. Patients having a juxtarenal aortic occlusion require a
considerably more expeditious surgery necessitating maneuvers to protect the renal arteries. Surgical risk
increases significantly in those having multiple co-morbid conditions. We report here a successful case of
aorto-bi-femoral bypass for juxtarenal aortic occlusion in a patient having multiple co-morbid conditions
like ischemic heart disease, occluded right renal artery with chronic kidney disease, severe malnutrition,
hypertension and chronic obstructive pulmonary disease.