Khwaja Haris A, Omotoso Patrick Ob
Bariatric and Metabolic Institute & Dept. of Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland 44950, Ohio, USA.
J Med Case Rep. 2009 Nov 24;3:9294. doi: 10.1186/1752-1947-3-9294.
Common femoral endarterectomy and/or profundoplasty are procedures commonly performed on patients with functional or critical limb ischaemia.
A 61-year-old Caucasian British man was referred to our unit with recent onset of severe left calf and thigh claudication and rest pain in his left foot. Magnetic resonance angiography revealed occlusive disease of the left common femoral artery, proximal superficial and profunda femoral arteries. These findings were confirmed intraoperatively and an endarterectomy was subsequently performed from the left common femoral onto the proximal superficial femoral artery and then onto the proximal profunda femoris artery. The arteriotomy was closed with a Dacron patch and its distal end was bisected into two to patch the profunda femoris and superficial femoral arteries. The patient made an uneventful recovery with a full clinical improvement of his left leg.
A Dacron patch that was bisected distally to make a bifurcated patch for simultaneous patching of the profunda femoris artery and the superficial femoral artery was used to treat our patient's occlusions. This technique has not been previously described in the published literature and we have found it easy to do with little time added to conventional operation.
股总动脉内膜切除术和/或股深动脉成形术是常用于功能性或严重肢体缺血患者的手术。
一名61岁的英国白人男性因近期出现严重的左小腿和大腿间歇性跛行以及左足静息痛而被转诊至我院。磁共振血管造影显示左股总动脉、股浅动脉近端和股深动脉近端存在闭塞性病变。术中证实了这些发现，随后对患者实施了从左股总动脉到股浅动脉近端，再到股深动脉近端的内膜切除术。动脉切开处用涤纶补片封闭，补片远端一分为二，分别用于修补股深动脉和股浅动脉。患者恢复顺利，左腿临床症状完全改善。
我们使用了一种涤纶补片，其远端一分为二形成一个分叉补片，用于同时修补股深动脉和股浅动脉，以治疗该患者的血管闭塞。该技术此前在已发表的文献中未曾描述，我们发现其操作简便，在常规手术基础上增加的时间很少。
