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35302 with 35654 - is this ok?

Date: Jan 3, 2024

Question:

Need Dr. Z's opinion with this op report :) Thank you in advance!

An arteriotomy was made mid common femoral artery extended across the femoral bifurcation to the origin of the superficial femoral artery which was widely patent. Occlusive highly exophytic plaque was at the femoral bifurcation. An endarterectomy plane was identified, taking care to preserve the abrupt termination of the plaque at the origin of the profundofemoral artery. We endarterectomized from the proximal superficial femoral artery retrograde to the level of the inquinal ligament w/a penfield elevator. At the origin of the profundofemoral artery I divided the plaque with Potts scissors, resulting in preservation of a nice ostium. I tacked down the plaque at the origin of the profundofemoral artery w/7.0 prolene sutures and passed the plaque off as a specimen. The 8 mm graft was spatulated to match and end to side anastomosis completed with 5-0 prolene sutures.

Then the op goes on to discuss completion of the axillary to bifemoral bypass.

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