Maldonado Eric J, Trocha Kaspar, Finlay David J
Department of Surgery, Metropolitan Hospital Center, New York Medical College, New York, NY.
Division of Vascular Surgery, Department of Surgery, The Mount Sinai Medical Center, New York, NY.
J Vasc Surg Cases Innov Tech. 2022 Jul 16;8(3):534-537. doi: 10.1016/j.jvscit.2022.06.011. eCollection 2022 Sep.
A 63-year-old man with a history of bipolar and schizoaffective disorder was admitted to the psychiatry unit. His comorbidities included active smoking, hypertension, diabetes, hyperlipidemia, coronary artery disease after coronary artery bypass grafting, and peripheral arterial disease. During the admission, the patient began to complain of right foot pain at rest. Angiography revealed occlusion of a previously placed right superficial femoral artery and popliteal stents, severe common femoral and distal popliteal stenosis with only a patent posterior tibial (PT) artery runoff. Serial venoplasty was performed and revealed an inadequately sized, ipsilateral great saphenous vein, followed by a delayed femoral-PT in situ saphenous vein bypass. Angiography at 32 months demonstrated a patent femoral-PT great saphenous vein bypass.
一名患有双相情感障碍和精神分裂症的63岁男性入住精神科病房。他的合并症包括现正吸烟、高血压、糖尿病、高脂血症、冠状动脉搭桥术后的冠状动脉疾病以及外周动脉疾病。住院期间，患者开始诉说静息时右脚疼痛。血管造影显示先前放置的右侧股浅动脉和腘动脉支架闭塞，股总动脉和腘动脉远端严重狭窄，仅胫后动脉有血流。进行了系列静脉成形术，发现同侧大隐静脉尺寸不合适，随后进行了延迟的股-胫后原位大隐静脉旁路移植术。32个月时的血管造影显示股-胫后大隐静脉旁路移植血管通畅。
