Successful vascular reconstruction after inadvertent femoral artery "stripping".
A case of total stripping of the femoral axis secondary to saphenectomy is reported. This type of accident is followed by amputation unless quickly recognised and corrected. A combined saphenous vein and PTFE graft interposed between the origin of the superficial femoral and the distal part of the posterior tibial remained patent for three months. Its eventual thrombosis, however, did not result in loss of the limb, because a sound compensatory circulation had been established in the meanwhile. It is therefore felt that repair surgery is always worth attempting, even in the case of extensive arterial lesions that will otherwise necessitate amputation.
D000328:Adult; D001807:Blood Vessel Prosthesis; D003097:Collateral Circulation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D013927:Thrombosis / Q000503:physiopathology
D011138:Polytetrafluoroethylene