Creation of axillo-axillar bypass with bidirectional anastomoses.

Scholz and co-workers reported such type of anastomosis applied in femoro-crural bypass procedures which leads blood flow well into both directions. In vascular surgery practice of the author there were several occasions where this modified anastomosis was favorably applicable. An old man was operated up in this manner whose left common and internal carotid artery and the starting part of the subclavian artery was occluded that caused steal syndrome. Axillo-axillar bypass was done with end to side anastomoses. After the operation blood pressure increased to 155/75 mmHg on both arms the steal phenomena ended. Bidirectional anastomoses make flow from obtuse angle to rectangular.