Urgent pedal bypass grafting for salvage of a critically ischaemic limb with a thrombosed popliteal aneurysm.
The absence of infra-popliteal runoff in patients with acute limb-threatening ischaemia due to thrombosed popliteal aneurysm entails a high risk of amputation. If sufficient runoff cannot be restored by thrombolysis of crural arteries or by thrombectomy, the only chance to salvage the limb is pedal bypass grafting. The authors present a clinical case of acute lower limb ischaemia in a patient with popliteal aneurysm thrombosis and occlusion of the crural arteries treated successfully with urgent pedal bypass grafting with distal anastomosis to the dorsal pedal artery.
Staffa
R
R
2nd Department of Surgery, St. Anne's Teaching Hospital Brno, Faculty of Medicine, Masaryk University in Brno, Czech Republic. robert.staffa@fnusa.cz
Gregor
Z
Z
Wasikova
S
S
D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000473:pathology* / Q000601:surgery*; D004638:Emergency Treatment / Q000379:methods; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery*; D008297:Male; D011150:Popliteal Artery / Q000473:pathology* / Q000601:surgery*; D016879:Salvage Therapy / Q000379:methods*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging