First report of an ilio-popliteal bypass through the greater sciatic foramen. Case report.
A 47 year-old man, who had a history of pelvic radiotherapy for the treatment of testicular tumour 30 years ago, was referred with minor tissue loss of the right lower extremity, grade III, category 5 of the Rutherford classification. His groin region presented with severe radiation damage. Arteriography demonstrated the occlusion of external iliac and femoral arteries. Revascula-risation was performed in the lateral decubitus position, with a ringed polytetrafluoroethylene (PTFE) graft bypass between normal common iliac and popliteal arteries through the greater sciatic foramen. Quick healing was observed. Patient is well 6 months postoperatively. Immediate and 6 month postoperative imaging demonstrated the good patency of the graft. A duplex ultrasound performed 6 month postoperatively showed no significant compression while the patient was in the sitting position.
Picquet
J
J
Department of Cardio-Vascular and Thoracic Surgery Angers University Hospital, Anger, France. JePicquet@chu-angers.fr
Thouveny
F
F
Abilez
O
O
Pégis
J D
JD
Blin
V
V
Enon
B
B
D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery; D006119:Groin / Q000528:radiation effects; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D011150:Popliteal Artery / Q000601:surgery; D011471:Prostatic Neoplasms / Q000532:radiotherapy; D014654:Vascular Patency