title: Upper limb ischemia in a patient with Wegener's granulomatosis.
abstract: OBJECTIVE
  We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb.
  
  
  METHODS
  A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed.
  
  
  RESULTS
  After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions.
  
  
  CONCLUSIONS
  Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.
authors.affiliation: Departamento de Angiologia e Cirurgia Vascular, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal. miguelopmm@hotmail.com
authors.forename: Miguel
authors.initials: M
authors.lastname: Maia
authors.forename: Pedro
authors.initials: P
authors.lastname: Brandão
authors.forename: Pedro
authors.initials: P
authors.lastname: Monteiro
authors.forename: Paulo
authors.initials: P
authors.lastname: Barreto
authors.forename: Daniel
authors.initials: D
authors.lastname: Brandão
authors.forename: Joana
authors.initials: J
authors.lastname: Ferreira
authors.forename: Sandrina
authors.initials: S
authors.lastname: Braga
authors.forename: Guedes
authors.initials: G
authors.lastname: Vaz
mesh_terms: D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000473:pathology / Q000601:surgery / Q000628:therapy; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000601:surgery; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014656:Vascular Surgical Procedures