A Case of Y Graft Replacement for Recurrent Blue Toe Syndrome Following Cardiac Catheterization.
10.4326/jjcvs.23.429
- VernacularTitle:心臓カテーテル検査後の再発性ｂｌｕｅ ｔｏｅ症候群に対するＹ型人工血管置換術の一例
- Author:
Masamitsu Endo
;
Makoto Tsubota
;
Masahiro Seki
;
Takashi Iwa
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1994;23(6):429-432
- CountryJapan
- Language:Japanese
-
Abstract:
We recently experienced a case of Y graft replacement for recurrent blue toe syndrome (BTS) following cardiac catheterization. A 64-year-old male, who had undergone cardiac catheterization, complained of bilateral multiple toe cyanosis and pain. Angiograms revealed that infrarenal aortic stenosis was the recurrent embolic source. He refused surgical treatment because he thought the BTS was an iatrogenic complication. No conservative therapy was effective. He finally suffered from right foot and all left toe necrosis after nine months. Then he recieved Y graft replacement. Thereafter no embolic episode was seen. Cardiac catheterization recently has become a routine examination. However, informed consent is very important because it is difficult to anticipate BTS following the examination. Surgical treatment is recommended for recurrent BTS because conservative therapy fails in most cases.
