Kusaba A, Koja K, Kina M, Furuyama M
Jpn J Surg. 1985 Jan;15(1):68-74. doi: 10.1007/BF02469861.
We treated a 9-year-old boy suffering from underdevelopment of the length as well as circumference of the left lower extremity due to idiopathic arterial calcification of the left ilio-femoral artery. There was no deposition of calcium on the other arteries and tissues of the body. He had undergone aorto-internal iliac bypass graft with resection of the calcific iliac and superficial femoral arteries in the National Fukuoka Central Hospital when he was 4 years old, but the graft became occluded. He was admitted to the University of the Ryukyus Hospital. The common femoral artery was completely occluded with severe deposition of calcium on the wall and with gritty contents. The profunda femoris artery and the proximal part of the superficial femoral artery were also completely occluded with organized thrombi. Re-establishment of blood flow to the ischemic left lower extremity was performed with an ilio-femoral cross-over synthetic bypass and femoro-popliteal saphenous vein bypass graft, in situ. The patient has been well with adequate pulses of the pedal and posterior tibial artery 8 months after surgery.
我们治疗了一名9岁男孩，他因左髂股动脉特发性动脉钙化而出现左下肢长度和周长发育不全。身体的其他动脉和组织未出现钙沉积。他4岁时在国立福冈中央医院接受了主动脉-髂内动脉搭桥术，并切除了钙化的髂动脉和股浅动脉，但移植血管闭塞了。他被收治到琉球大学医院。股总动脉完全闭塞，血管壁有严重的钙沉积，内容物呈沙粒状。股深动脉和股浅动脉近端也完全被机化血栓闭塞。通过髂股交叉人工血管旁路移植术和原位股腘隐静脉旁路移植术，恢复了缺血左下肢的血流。术后8个月，患者情况良好，足背动脉和胫后动脉搏动良好。
