“Very long” aortic grafts

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Abstract
During the past 2 decades, we have been using the so-called "very long"(ascending to infrarenal aorta or ascending aorta to common femoral artery)bypass grafts in selected patients. Our experience with this methodincludes patients with dissecting as well as arteriosclerotic aneurysms ofthe descending aorta, thoracoabdominal aneurysms, patients in need ofaortic surgery with previous abdominal aortic surgery, radiation treatment,aortic thrombosis, and complex aortic coarctation in the adult. Thetechnique proved to be relatively easy to perform, was well tolerated bymost patients and replaced more complicated and higher risk "conventional"operations. The advantages and shortcomings of the method as well as longrange clinical observations are presented.

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