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- W2331215299 abstract "A 52-year-old man with Leriche syndrome with a high aortic occlusion, in which the abdominal aorta proximal to the origin of the renal artery was thrombosed, is reported. The patient was admitted to the hospital because of intermittent claudication and sexual impotence. On aortogram the abdominal aorta just from the infrarenal portion to bilateral common iliac arteries occluded completely and the orifice of right renal artery was slightly stenotic. Operation was performed under hypothermia at 30°C of rectal temperature, and a wide operative field was secured through a modified spiral skin incision and extraperitoneal approach (by Stoney et al., 1973). Through a longitudinal aortotomy, thrombus was found locating from the proximal to the renal arteries to bilateral common iliac arteries. The orifice of the right renal artery was thrombosed, too. The long segmental thrombus was removed carefully. Aorta was reconstructed with Y-shaped Dacron graft from the infrarenal portion to bilateral common iliac arteries. The postoperative course was uneventful without renal dysfunction. On postoperative aortogram blood flow was sufficient along the prosthetic graft. In conclusion the spiral skin incision with extraperitoneal approach under systemic hypothermia is a preferable and appropriate procedure for this disease." @default.
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- W2331215299 date "1993-01-01" @default.
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- W2331215299 title "A CASE OF LERICHE SYNDROME WITH HIGH AORTIC OCCLUSION" @default.
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- W2331215299 doi "https://doi.org/10.3919/ringe1963.54.1226" @default.
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