Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Conn.
Division of Interventional Radiology, Department of Radiology, Yale School of Medicine, New Haven, Conn.
J Vasc Surg Venous Lymphat Disord. 2018 Nov;6(6):762-764. doi: 10.1016/j.jvsv.2018.05.022.
A 57-year-old man with post-thrombotic syndrome presented to the vascular clinic with multiple recurrent nonhealing ulcerations, swelling, and hyperpigmentation of the right lower extremity 30 years after a Palma procedure. On venography, a right to left femoral-femoral Palma bypass graft was noted to be patent, with occlusion of the iliac vein. Endovascular stenting of the right iliac veins led to complete resolution of symptoms and ulcer healing. The bypass and the stents remain patent 4 years after the procedure.
一位 57 岁的男性患者，患有血栓后综合征，在 Palma 手术后 30 年，因右下肢反复发作的难以愈合的溃疡、肿胀和色素沉着而到血管科就诊。静脉造影显示右侧股-股 Palma 旁路移植物通畅，但髂静脉闭塞。对右侧髂静脉进行血管内支架置入术，使症状完全缓解，溃疡愈合。手术后 4 年，旁路和支架仍然通畅。
