[Arterial thrombosis of the femoro-popliteal axis. An exceptional case of vascular complication by exostosis (author's transl)].
The authors report an exceptional case of arterial thrombosis of the femoro-popliteal axis, caused by a bony exostosis of the femur. It was a man of 48 years, presenting with sub-acute ischemia of the left lower limb. The different examinations showed an extensive femoro-popliteal artery thrombosis centered by a bony exostosis of the inferior third of the femur. The patient was successfully operated upon with resection of the exostosis and saphenous vein femoro-popliteal by-pass. A review of the literature shows the rarity of vascular complication of exostosis and particularly of thrombosis, previously reported only 4 times. An explanation of the mechanism involves the repeated trauma on the artery in this narrow region and the possibility of superimposed atheroma.
D001161:Arteriosclerosis / Q000150:complications; D005096:Exostoses / Q000150:complications* / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery*; D005269:Femur / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery
Thrombose artérielle fémoro-poplitée un case exceptionnel de complication vasculaire par exostose.