Tamura Yamato, Nishizaki Kazuhiko, Yasukawa Motoaki, Seki Toshio
Department of Cardiovascular Surgery, Nara Prefectural Mimuro Hospital, 1-14-16 Mimuro, Sango-cho, Ikoma-gun, Nara 636-0802, Japan.
Ann Vasc Dis. 2013;6(1):94-7. doi: 10.3400/avd.cr.12.00073. Epub 2013 Mar 25.
We experienced a rare case of acute ischemia of the lower extremity due to embolism caused by an occluded prosthetic graft late after axillary-femoral artery bypass. A 67-year-old woman developed acute right lower extremity ischemia 7 years after axillary-femoral artery bypass, which had been performed for lower limb ischemia as a complication of acute aortic dissection (Stanford B). The graft was occluded, and the native vessel had re-canalized by the time of the present admission. She was successfully treated by disconnection of the graft followed by revascularization.
我们遇到了一例罕见的因腋-股动脉搭桥术后晚期人工血管闭塞导致栓塞引起的下肢急性缺血病例。一名67岁女性在腋-股动脉搭桥术后7年出现右下肢急性缺血,该手术是作为急性主动脉夹层(斯坦福B型)并发症下肢缺血的治疗手段。此次入院时人工血管已闭塞,而自体血管已再通。她通过切断人工血管并随后进行血运重建成功得到治疗。