Case Report: Chronic Juxtarenal Aortic Occluded Patients Who Underwent Aorto-bifemoral Bypass Grafting with Suprarenal Aortic Clamping

Abstract

We report four chronic juxtarenal aortic occluded cases that underwent aorto-bifemoral bypass grafting. All were male, and their mean age was 61 years old (41–76). We performed a simple suprarenal clamping method for all cases. A case of a patient with a middle grade high creatinine value (2.27 mg/dl) needed temporary dialysis postoperatively for a few months. Suprarenal aortic simple clamping method is recognized as a safe procedure for the patients with normal preoperative renal function; however, we insist that some renal protection should be considered for middle grade renal dysfunction.