Fox A D, Rai A, Budd J S, Whiteley M S, Chalmers A H
University Department of Surgery, Royal United Hospital, Bath
Ann R Coll Surg Engl. 1995 Sep;77(5):392-4.
A 74-year-old male claudicant had undergone operative repair of his bilateral varicose veins 22 years earlier. His records confirmed that on the right side he had only had a saphenofemoral disconnection. Duplex scanning and angiography of his right leg demonstrated an occluded superficial femoral artery (SFA) and a network of channels between the proximal SFA stump and the long saphenous vein (LSV). Distal SFA reconstitution occurred through two distal arteriovenous fistulas. We believe that this is the first case of a spontaneous femorodistal bypass graft secondary to neovascularisation recorded in the literature.
一名74岁的男性间歇性跛行患者在22年前接受了双侧静脉曲张手术修复。他的病历证实，右侧仅进行了大隐静脉-股静脉离断术。对其右腿进行的双功超声扫描和血管造影显示，股浅动脉（SFA）闭塞，近端SFA残端与大隐静脉（LSV）之间存在通道网络。远端SFA通过两个远端动静脉瘘实现了血管重建。我们认为，这是文献中记录的首例继发于新生血管形成的自发性股-远端旁路移植病例。
