While there have been a multitude advances made in the medical field in the past few decades, common problems remain common. Obesity, hypertension, and diabetes continue to represent some of the most commonly encountered problems in a physician’s office. When these issues are combined with smoking, they can accelerate a disease called atherosclerosis. Atherosclerosis represents a remodeling of blood vessel walls and plaque deposition, decreasing the diameter of the vessel lumen. This means that the vessels and organs on the other side of this obstruction receive less blood flow, oxygen, and nutrients. Most physicians will try to manage atherosclerosis initially using medications, dietary changes, smoking cessation, and exercise. Despite these measures, advanced disease causing tissue loss or increasing pain requires treatment from a vascular surgeon.
Atherosclerosis can form in any part of the body. In the lower extremities this is treated with endovascular intervention or an open bypass. One of the more common locations for atherosclerosis to develop is in the infrarenal aorta and iliac vessels, or the bottom of the aorta just after the renal arteries. When plaque forms in the infrarenal aorta, this can lead to difficulty walking, erectile dysfunction, and hip pain. Depending on the extent of disease endovascular therapy is usually the first choice. However, with extensive disease, especially in young patients, the treatment of choice for this is called an aortobifemoral bypass. This procedure requires a vascular surgeon to use plastic tubing as a bypass around the atherosclerotic region to connect the aorta directly to the femoral arteries. This will restore blood flow to the affected areas and improve symptoms. Patients must be healthy enough to undergo abdominal surgery. The procedure involves bilateral groin incisions as well as an abdominal incision. Patients typically spend at least a week in the hospital recovering.
An aortibifemoral bypass is a complex procedure that requires the skills of a vascular surgeon. Your vascular surgeon will explain the risks and benefits of the procedure and other potential options. Dr. Jenna Kazil is an experienced board-certified vascular surgeon in Manatee County, FL, who helps patients at the Florida Surgical Clinic. Dr. Kazil understands the challenging circumstances surrounding an aortobifemoral bypass and has the experience necessary to perform this procedure successfully even in the most stringent of situations. Patients seeking the services of a prodigous Bradenton vascular surgeon should visit Dr. Kazil for all of their surgical and vascular needs.