Revascularização dos membros inferiores a partir da aorta ascendente – caso clínico

The revascularization of the lower limbs from the thoracic aorta, although feasible, is an unusual choice. The authors describe the clinical case of a patient with chronic aortic type B dissection, severe aortic stenosis, coarctation of the aorta at the isthmus, and occlusion of the left external iliac artery. He underwent simultaneous aortic valve replacement and construction of a bypass from the ascending thoracic aorta to both femoral common arteries. The patient was discharged at the 13th postoperative day, and is now being followed. This is a rare and complex procedure possible due to multidisciplinary collaboration between vascular surgeons and cardiothoracic surgeons.