[Arterial diseases of the lower limbs in subjects less than 40 years old. Nature and prognosis. Apropos of 41 surgically treated patients].
This study of 41 cases of young patients with obliterative arterial disease treated surgically, with follow-up for 6 and a half years, used the standard classification. Collection of the patients from a department of treatment falsified their true distribution. Atheroma was present in 90% of cases. Sixty eight per cent of patients were initially at stage II and 44% had a good long term result, essentially following the insertion of an aorto-bifemoral bypass. The mortality was 12%. The choice of surgical technique and ideal timing remain difficult to define. It would seem necessary to delay the date of the first operation for as long as possible, stressing the gravity of the first decision to operate.
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D001161:Arteriosclerosis / Q000175:diagnosis; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D011183:Postoperative Complications; D011379:Prognosis; D012306:Risk; D012907:Smoking; D013562:Sympathectomy; D013919:Thromboangiitis Obliterans / Q000175:diagnosis / Q000473:pathology
Les artériopathies des membres inférieurs du sujet de moins de 40 ans. Nature et pronostic. A propos de 41 malades opérés.