Ascending aorta to common femoral artery bypass: An unusual but successful method for revascularization of the lower extremity: Report of case.

A 61-year-old woman presented with symptoms and signs of severe ischemia in the left leg. Rest pain was present, and the leg was pulseless. The patient reported a complicated history of repeated strokes. Complete evaluation revealed mitral valve disease, atrial fibrillation, and occlusion of the distal aorta and left iliac and femoral arteries. Corrective surgery consisted of mitral valve replacement and concomitant ascending aorta to left common femoral and femoral graft to right femoral artery bypass. Recovery was uneventful. The cardiac and vascular prostheses functioned well and provided complete relief of ischemia.