We describe a case of acute renal failure caused by extension of an atherosclerotic
occlusive process to the suprarenal aorta. A 68-year-old man underwent bypass grafting
from the ascending aorta to the femoral arteries using straight and Y-grafts. Additional
saphenous vein grafts were placed from the intra-abdominal portion of the graft to
the left and right renal arteries and the splenic artery. As a consequence, relief
of limb ischemia was achieved and dialysis could be discontinued.
Key words
Extended aortic bypass - aorto-iliac occlusive disease - renal artery bypass - acute
aortic occlusion
