Cargando…

Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins

A 58-year-old male patient with severe claudication due to thrombosis of the left ilio-femoro-popliteal artery aneurysm. He also had a venous stasis ulcer with a history of multiple embolotherapy of arteriovenous malformation. Duplex sonography revealed reflux and varicose veins of the left great sa...

Descripción completa

Detalles Bibliográficos
Autores principales: Chung, Chris Tae Young, Ko, Hyunmin, Kim, Hyo Kee, Mo, Hyejin, Han, Ahram, Ahn, Sanghyun, Min, Sangil, Min, Seung-Kee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Vascular Specialist International 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774428/
https://www.ncbi.nlm.nih.gov/pubmed/31620403
http://dx.doi.org/10.5758/vsi.2019.35.3.165
_version_ 1783456076971114496
author Chung, Chris Tae Young
Ko, Hyunmin
Kim, Hyo Kee
Mo, Hyejin
Han, Ahram
Ahn, Sanghyun
Min, Sangil
Min, Seung-Kee
author_facet Chung, Chris Tae Young
Ko, Hyunmin
Kim, Hyo Kee
Mo, Hyejin
Han, Ahram
Ahn, Sanghyun
Min, Sangil
Min, Seung-Kee
author_sort Chung, Chris Tae Young
collection PubMed
description A 58-year-old male patient with severe claudication due to thrombosis of the left ilio-femoro-popliteal artery aneurysm. He also had a venous stasis ulcer with a history of multiple embolotherapy of arteriovenous malformation. Duplex sonography revealed reflux and varicose veins of the left great saphenous vein (GSV). A sequential bypass surgery was performed that consisted of excision of the left external iliac and common femoral artery aneurysm, external iliac to deep femoral interposition with an expanded polytetrafluoroethylene graft, and femoro-posterior tibial artery bypass with the reversed left GSV. Symptoms of claudication were alleviated and the chronic ulcer was healed in time. To our knowledge, this is the first report of successful bypass in a patient with arterial aneurysm, arteriovenous malformation, and venous insufficiency that can be diagnosed as an atypical case of Parkes Weber syndrome. Long-term follow-up is needed to define the fate of aneurysms and varicose vein graft.
format Online
Article
Text
id pubmed-6774428
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Vascular Specialist International
record_format MEDLINE/PubMed
spelling pubmed-67744282019-10-16 Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins Chung, Chris Tae Young Ko, Hyunmin Kim, Hyo Kee Mo, Hyejin Han, Ahram Ahn, Sanghyun Min, Sangil Min, Seung-Kee Vasc Specialist Int Case Report A 58-year-old male patient with severe claudication due to thrombosis of the left ilio-femoro-popliteal artery aneurysm. He also had a venous stasis ulcer with a history of multiple embolotherapy of arteriovenous malformation. Duplex sonography revealed reflux and varicose veins of the left great saphenous vein (GSV). A sequential bypass surgery was performed that consisted of excision of the left external iliac and common femoral artery aneurysm, external iliac to deep femoral interposition with an expanded polytetrafluoroethylene graft, and femoro-posterior tibial artery bypass with the reversed left GSV. Symptoms of claudication were alleviated and the chronic ulcer was healed in time. To our knowledge, this is the first report of successful bypass in a patient with arterial aneurysm, arteriovenous malformation, and venous insufficiency that can be diagnosed as an atypical case of Parkes Weber syndrome. Long-term follow-up is needed to define the fate of aneurysms and varicose vein graft. Vascular Specialist International 2019-09 2019-09-30 /pmc/articles/PMC6774428/ /pubmed/31620403 http://dx.doi.org/10.5758/vsi.2019.35.3.165 Text en Copyright © 2019, The Korean Society for Vascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chung, Chris Tae Young
Ko, Hyunmin
Kim, Hyo Kee
Mo, Hyejin
Han, Ahram
Ahn, Sanghyun
Min, Sangil
Min, Seung-Kee
Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title_full Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title_fullStr Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title_full_unstemmed Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title_short Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
title_sort thrombosis of a long-segment aneurysm from the iliac to popliteal artery associated with arteriovenous malformation and varicose veins
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774428/
https://www.ncbi.nlm.nih.gov/pubmed/31620403
http://dx.doi.org/10.5758/vsi.2019.35.3.165
work_keys_str_mv AT chungchristaeyoung thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT kohyunmin thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT kimhyokee thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT mohyejin thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT hanahram thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT ahnsanghyun thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT minsangil thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins
AT minseungkee thrombosisofalongsegmentaneurysmfromtheiliactopoplitealarteryassociatedwitharteriovenousmalformationandvaricoseveins