East Kent Hospitals University NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2022 Jun;104(6):e177-e179. doi: 10.1308/rcsann.2021.0248. Epub 2022 Feb 9.
A 31-year-old man with primary oxalosis and resultant polyneuropathy presented with worsening leg pain. He was found to have bilateral superficial femoral artery dissections with a non-viable left leg and critically ischaemic right leg. He underwent emergency left above-knee amputation with harvesting of the full-length ipsilateral great saphenous vein (GSV). In a novel technique, the vein was stored for 10 days before being used as conduit in a femoral-popliteal bypass in the contralateral leg. The success of the delayed GSV autograft means the salvage of clinically viable veins in non-viable limbs should be considered when patients present with bilateral acute or critically ischaemic limbs.
一位 31 岁原发性草酸钙沉着症患者，并发多发性神经病，出现腿部疼痛加重。检查发现双侧股浅动脉夹层，左腿无存活组织，右腿严重缺血。行紧急左膝上截肢术，同侧大隐静脉（GSV）全长采集。采用一种新颖技术，在将静脉用作对侧腿股-腘旁路移植物前，先储存 10 天。这种延迟 GSV 自体移植的成功意味着，当患者出现双侧急性或严重缺血性肢体时，应考虑在无存活组织的肢体中保存有临床存活价值的静脉。
