Persistent Sciatic Artery Revealed by Cellulitis and Skin Necrosis of the Lower Leg
10.4326/jjcvs.33.118
- VernacularTitle:蜂か織炎に伴う下腿皮膚壊死で発見された遺残坐骨動脈の1例
- Author:
Yuji Yamamoto
;
Shinji Yamamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(2):118-120
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man was referred to our department for the treatment of cellulitis and skin necrosis after a bruise of the left lower leg. He had suffered from intermittent claudication of the left calf for a year and arterial pulses in the left lower limb were absent. Arteriogram showed hypoplasty of the left external iliac artery and aplasty of the left superficial femoral artery. A persistent sciatic artery was noted to be the dominant blood supply to the left lower extremity. Left ilio-popliteal artery bypass using 6mm ringed ePTFE graft was performed. After arterial reconstruction, skin transplantation was performed and the intermittent claudication disappeared completely.