[On frozen vena saphena magna as an allograft in peripheral vascular surgery. Report of a case].
The case of a 75 year old white male, with severe ischemia of the left lower limb and gangrene of its fifth digit, is presented. Because of early post-operative thrombosis after insertion of an autogenous composite femoro-popliteal venous by-pass graft and recurrence of symptoms, a fresh frozen human varicose vein allograft procedure was performed. A pseudo-aneurism which occurred along the graft on the 13th postoperative day was successfully treated by segmental excision with "end-to-end" reconstruction of the allograft itself. This was followed by plastic reconstruction of his foot with primary healing and complete disappearance of symptoms. The patient is now eight months post- op with excellent functional result. Only twenty two similar cases were gathered from the literature. All problems associated with allograft transplantation of fresh and frozen veins are discussed. This case further supports the facts that bloodgroup incompatibility is not a major problem and that reinterventions on such grafts are feasable.
D000368:Aged; D001162:Arteriosclerosis Obliterans / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery; D005615:Freezing; D005734:Gangrene / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D012501:Saphenous Vein; D013927:Thrombosis / Q000601:surgery*; D014021:Tissue Preservation; D014184:Transplantation, Homologous; D014680:Veins / Q000637:transplantation*
De bevroren vena saphena magna als allogreffe bij perifere vaatheelkunde. Voorstelling van een geval