Combined microsurgical and thrombolytic salvage of an ischaemic lower limb in a 1079 gram preterm neonate.
A 1079 gram preterm neonate suffered complete avulsion of the common and external iliac arteries during aortic balloon valvotomy resulting in complete ischaemia of the lower limb. Salvage by microsurgical extra-anatomic vascular bypass was unsuccessful but additional thrombolytic therapy allowed restoration of blood supply. The limb was then seen to be dependent upon the microvascular bypass. In this case salvage depended upon combined medical and surgical treatment, and the case points to benefits from such a combined approach to therapy.
Kay
S
S
Plastic Surgery Department, St James's University Hospital, Leeds.
Gilpin
D J
DJ
D001024:Aortic Valve Stenosis / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects; D003131:Combined Modality Therapy; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D007511:Ischemia / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008866:Microsurgery; D013300:Streptokinase / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D014680:Veins / Q000637:transplantation
D013300:Streptokinase