Coiling of the right external iliac artery with atherosclerotic plaque as a cause of ischemic ulcer on the toe: report of a case.
Coiling of the artery is a rare morphologic entity, most frequently found in the internal carotid arteries. Coiling of other arteries is rarely reported because it is usually asymptomatic. We report a case of 360 degrees coiling of the right external iliac artery found by color duplex scan and arteriography. The patient was a 72-year-old man who presented with a 2-month history of an ischemic ulcer on his right toe and a right ankle-brachial-pressure index (ABPI) of 0.0 and 0.4 on admission. We resected 7 cm of the affected artery and performed end-to-end reconstruction. After 2 months of follow-up, his ischemic ulcer had healed and the ABPI of the right foot was 0.0 and 0.8.
Milic
Dragan J
DJ
Vascular Department, Surgical Clinic, Clinical Centre Nis, Bulevar Zorana Djindjica 48, Nis, Serbia.
Zivic
Sasa S
SS
Perisic
Zoran D
ZD
Mihailovic
Dragan S
DS
Ignjatovic
Nebojsa S
NS
Radovanovic
Zoran L
ZL
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000792:Angiography; D050197:Atherosclerosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities* / Q000601:surgery; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D014034:Toes / Q000098:blood supply*; D014456:Ulcer / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018616:Ultrasonography, Doppler, Duplex; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery