Abstract
A 69-year-old woman underwent bilateral axillofemoral bypass surgery for abdominal aortic stenosis. She complained of a sensation of coldness in the lower extremities and intermittent claudication. Abdominal X-ray film showed the severely calcified abdominal aorta. After the operation, her symptoms disappeared.
In this case, direct anastomosis between the aorta and artificial graft was impossible because of calcification of the abdominal aorta, and extraanatomic bypass surgery was performed.
An axillofemoral bypass operation is frequently used for aortoiliac occlusive disease. But we think that a patient with severe complaints due to abdominal aortic stenosis, especially with a severely calicified aorta, has good indication for this procedure.
