Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Children's Health

Font Size

Aortobifemoral Bypass for Peripheral Arterial Disease

Aortobifemoral bypass camera.gif surgery is used to bypass diseased large blood vessels in the abdomen and groin.

To bypass a narrowed or blocked blood vessel, blood is redirected through a graft made of synthetic material (such as polytetrafluoroethylene [PTFE] or Dacron). This graft is sewn above and below the diseased artery so that blood flows through the graft. These man-made grafts are more likely to be used than transplanted natural grafts for aortobifemoral surgery, because the blood vessels involved are large.

The artificial blood vessel is formed into a Y shape. The single end of the Y is sewn on the aorta. The two split ends of the Y are sewn below the blocked or narrowed areas of the femoral arteries. This allows the blood to travel around (bypass) the diseased areas.

General anesthesia is used and will cause you to sleep through the procedure.

What To Expect After Surgery

You may stay in the hospital 4 to 7 days. And you can expect your belly and groin to be sore for several weeks. You will probably feel more tired than usual for several weeks.

You may be able to do many of your usual activities after 4 to 6 weeks. But you will likely need 2 to 3 months to fully recover, especially if you typically do a lot of physical activities.

You will probably need to take at least 4 to 6 weeks off from work. It depends on the type of work you do and how you feel.

Why It Is Done

Aortobifemoral bypass surgery is for people who have narrowed or blocked blood vessels (aorta or iliac arteries) in the abdomen and pelvis. Usually the disease must be causing significant symptoms or be limb-threatening before bypass surgery is considered.

How Well It Works

Bypass surgery can restore blood flow and relieve intermittent claudication. Aortobifemoral bypass grafts stay open about 90% of the time for at least 5 years.1


All surgeries carry a certain amount of risk. These risks include:

Specific risks for aortobifemoral bypass surgery include:

  • Leg swelling.
  • Failed or blocked grafts.
  • Sexual dysfunction caused by nerve damage in the pelvis.

What To Think About

Your doctor may recommend that you try an exercise program and medicine before he or she recommends that you have this surgery.

Peripheral Arterial Disease: Should I Have Surgery?

Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.


  1. Hirsch AT, et al. (2006). ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): A collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation, 113(11): e463-e654.

ByHealthwise Staff
Primary Medical ReviewerRakesh K. Pai, MD, FACC - Cardiology, Electrophysiology
Specialist Medical ReviewerDavid A. Szalay, MD - Vascular Surgery

Current as ofNovember 14, 2014

WebMD Medical Reference from Healthwise

Last Updated: November 14, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

Today on WebMD

child with red rash on cheeks
What’s that rash?
plate of fruit and veggies
How healthy is your child’s diet?
smiling baby
Treating diarrhea, fever and more.
Middle school band practice
Understanding your child’s changing body.

worried kid
jennifer aniston
Measles virus
sick child

Child with adhd
rl with friends
Syringes and graph illustration