Aortobifemoral What Is

Overview

Aortobifemoral bypass is a surgical procedure to reroute blood flow around a blocked or narrowed section of the aorta (the main artery that carries blood from the heart to the body) to the femoral arteries (the main arteries in the legs).

Aortobifemoral bypass is typically used to treat peripheral artery disease (PAD), a condition in which the arteries in the legs become narrowed or blocked, reducing blood flow to the legs. PAD can cause symptoms such as pain, cramping, numbness, or weakness in the legs, and can increase your risk of heart attack and stroke.

Procedure

Aortobifemoral bypass surgery is typically performed under general anesthesia. The surgeon will make an incision in the groin area and expose the aorta and femoral arteries. They will then attach a synthetic graft (a tube made of synthetic material) to the aorta and femoral arteries, bypassing the blocked or narrowed section.

The graft will be secured in place with sutures, and the incision will be closed. You will typically stay in the hospital for several days after surgery to recover.

Recovery

After surgery, you will need to take it easy for several weeks. You may need to use crutches or a walker to help you walk, and you should avoid strenuous activity. Your doctor will give you specific instructions on how to care for your incision and how to gradually increase your activity level.

Most people recover from aortobifemoral bypass surgery within a few months. The surgery can significantly improve your symptoms and reduce your risk of heart attack and stroke.

Risks

Aortobifemoral bypass surgery is a major surgery and carries some risks, including:

* Bleeding

* Infection

* Blood clots

* Damage to the nerves or arteries in the legs

* Kidney failure

* Death

The risk of complications depends on your overall health and the severity of your PAD. Talk to your doctor about the risks of surgery before making a decision.