Digital arterial occlusion in scleroderma: is there a role for digital arterial reconstruction?
A 47-year-old patient with Raynaud's phenomenon secondary to scleroderma developed long finger ischaemic pain. This was successfully treated with a palmar sympathectomy and a long finger digital artery reconstruction using a reversed small calibre vein graft between a perforator from the deep palmar arch and the radial digital artery at the level of the distal interphalangeal joint.
Tomaino
M M
MM
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh 15213, USA. mtomaino@uoi.upmc.edu
D001158:Arteries / Q000601:surgery; D005385:Fingers / Q000098:blood supply* / Q000294:innervation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011928:Raynaud Disease / Q000150:complications / Q000601:surgery*; D012595:Scleroderma, Systemic / Q000150:complications*; D013562:Sympathectomy; D013927:Thrombosis / Q000150:complications / Q000601:surgery; D014656:Vascular Surgical Procedures; D014680:Veins / Q000637:transplantation