Limb salvage after delayed diagnosis for blunt traumatic infrapopliteal occlusion.
Infrapopliteal occlusion is uncommon after blunt trauma, and limb salvage after delayed diagnosis is even rarer. We present the case of a 56-year-old man who had complex lower leg orthopedic fractures along with a reportedly normal pulse examination with an 11-day diagnostic delay of limb-threatening ischemia requiring distal revascularization. This case illustrates an incidence of delayed infrapopliteal three-vessel occlusion with successful revascularization and subsequent endovascular management to maintain patency. We describe the workup and treatment of delayed infrapopliteal occlusion and a review of the current literature on this topic.
Causey
Marlin Wayne
MW
Department of Vascular Surgery, Madigan Army Medical Center, Tacoma, Wash 98431, USA. mwcausey@msn.com
Oguntoye
Morohunranti O
MO
Miller
Seth
S
Andersen
Charles
C
Singh
Niten
N
D000063:Accidents, Traffic; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic; D057210:Delayed Diagnosis; D005360:Fibula / Q000293:injuries / Q000601:surgery; D005592:Fracture Fixation; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation*; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*