Bypass Surgery, Heart and Gastric By Pass Information


Aortobifemoral Bypass Procedure

March 10, 2012 by admin in Heart with 0 Comments

The surgical redirecting of blood flow around blocked blood vessels which allow the passage of blood to specific organs or parts of the body is a bypass procedure. For blocked coronary arteries, it is called coronary artery bypass. For blocked arteries supplying blood to the lower extremities of the body like the stomach and the medial compartment of the thigh (groin), it is known as aortobifemoral bypass procedure.

Aortobifemoral bypass is a medical procedure, the objective of which is to repair damaged aorta – the largest artery carrying blood and oxygen to our body, originating from the heart and travelling down the stomach to reach the femoral arteries. These femoral arteries are two smaller blood vessels supplying blood and oxygen to the hips and legs.

When the aorta or any blood vessel for that matter is damaged or blocked, the supply of blood and oxygen to the body is greatly affected. Invariable pain, ulcer in the extremities and even gangrene are the obvious indicators of a diseased blood vessel. The showing of these symptoms indicates that blood flow from the heart is not reaching its destinations, which in this case are the lower extremities.

Who Needs Aortobifemoral Bypass?

Aortobifemoral bypass is regarded as the most hard-wearing bypass procedure for the peripheral nervous system. Patients with the following symptoms may be recommended to undergo this surgical procedure.

• Acute Aortic Aneurysm
• Extreme cases of claudication or ulcers / non-healing wounds on lower legs
• Severe abdominal aortic occlusion
• Critical limb ischemia
• Impotence
• Atherosclerosis of the abdominal aorta or iliac arteries
• Kidney transplant patients needing improved blood flow to the new kidney

As the objective of this surgical procedure is revascularization in the arteries or blood vessels, precise assessment or evaluation of the condition of the affected aorta or iliac vessels is very crucial. If this is recommended by your doctor, chances are your artery blockage or narrowing is severe and could pose even more serious harm and danger to your health.

Who Cannot Have Aortobifemoral Bypass Surgery?

Aortobifemoral bypass is an all-embracing procedure which requires the patient to be on general anaesthesia, not all candidate patients can have the surgery. A patient who is on the list below, are not likely to be recommended for this procedure.

• Old, feeble patients who are not physically fit for surgery – their poor health conditions may not withstand the procedure
• Stroke or myocardial infarction patients – they require wide-range of pre-operative workouts as they are at higher risks
• Colostomy patients – their abdomen might not be ready for another surgical procedure
• Retroperitoneal fibrosis patients – they manifest similar symptoms but the causes are different. Requires intensive evaluation of the cause of symptoms before any surgery is recommended to avoid any misdiagnosis or wrong treatment

What are the Post-Surgery Risks?

As in any surgical procedure, aortobifemoral bypass surgery is not an exemption. The common risks are :

• Heart attack
• Kidney Failure / Lung Infection
• Respiratory problems
• Bowel failure
• Infection from the cuts / incisions
• Bleeding
• Allergic response to medicines
• Blood clotting in legs or arms
• Graft infection

To avoid other problems or complications, a thorough pre-surgery workup is critical and important. This is to ensure that all high-risks patients have gone through the rigorous pre-op clearance from the concerned doctors (cardiologists, renal and colostomy specialists, etc.)

In general, the expected outcome of aortobifemoral bypass surgery is on the high side, with only about 2-5% mortality rate.

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  • Jessica Mueller: It's been a year ago as of June 6 I had gastric bypass. I'm 36 with what the doctor calls a brain injury and Wernikies. My esophagus closed and my body was depleted of vitamins for over 30 days because no one could figure out what was wrong. My roommates called 911 because I wasn't responding, I almost died. After being in the hospital I was moved to a rehabilitation hospital and then I was moved to a Neuro recovery home. I'm home now still trying to learn balance and my memory is slowly coming back,I keep a notebook to write my daily events in. Just wanted to share View Post
  • Manju Chakraborty: I am 59 years old housewife. I had a CABG in January, 2013. Three arteries were bypassed. This January the symptoms were repeated. I had undergone CAG. I have been advised for a repeat CABG for main two arteries. What are the risks involved in the operation within 14 months ? What precautions should be taken ? View Post
  • Mr. B: I am one week out of surgery. They do not keep you in the hospital anymore. I was in for 4 days total. They should let you know in this story that it will hurt to have the tubes taken out, and the wire pulled out. At least they do give you a couple of days between when they do these things. After these tubes,wires are pulled out you start feeling better and get your appetite back. A lot of the pain and discomfort is in the leg they take the vein from, and the ribs are sore from being spread apart. I will keep you updated as time goes by, but be prepared for these things. View Post
  • Chassie: Thanks for the information, now I can cope better with all the aformentioned problems better. I had the surgery for other reason than obesity in 2006; and I am smaller and had to undergo change of life style. But the side effects tend to be overwhelming, so I turned to the Web; now I follow all the recommendations given to reduce these side effects. View Post
  • Donna Lawrence: I had my surgery 3 months ago and I have a hard time some times eating I have nausea alot before I eat no matter what I eat why? View Post
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