PMC6399526_01
Previous right to left femorofemoral bypass with left external iliac stent occlusion.
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A 62-year-old male with known peripheral arterial disease had undergone previous right to left femorofemoral bypass for claudication with a ringed PTFE graft (Figure 1) as well as subsequent thrombectomy of the fem-fem bypass, balloon angioplasty of the distal anastomosis, and stenting of the superficial femoral artery in March 2017 due to occlusion of the graft.
Fluid surrounding the femorofemoral bypass graft.
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CT abdomen and pelvis demonstrated fluid surrounding the femorofemoral bypass graft (Figure 2).
Postoperative CT angiogram of obturator bypass.
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The patient was followed up outpatient following discharge with a repeat CT angiography of abdomen with bilateral lower extremity runoff at 2 months that demonstrated a widely patent transobturator bypass without evidence of stenosis or occlusion (Figures 3 and 4).
Postoperative CT angiogram of obturator bypass demonstrating distal anastomosis and runoff.
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The patient was followed up outpatient following discharge with a repeat CT angiography of abdomen with bilateral lower extremity runoff at 2 months that demonstrated a widely patent transobturator bypass without evidence of stenosis or occlusion (Figures 3 and 4).