Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins
10.5758/vsi.2019.35.3.165
- Author:
Chris Tae Young CHUNG
1
;
Hyunmin KO
;
Hyo Kee KIM
;
Hyejin MO
;
Ahram HAN
;
Sanghyun AHN
;
Sangil MIN
;
Seung Kee MIN
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. skminmd@snuh.org
- Publication Type:Case Report
- Keywords:
Arteriovenous malformations;
Aneurysm;
Varicose veins;
Parkes Weber syndrome;
Thrombosis
- MeSH:
Aneurysm;
Arteries;
Arteriovenous Fistula;
Arteriovenous Malformations;
Embolization, Therapeutic;
Femoral Artery;
Follow-Up Studies;
Humans;
Male;
Middle Aged;
Polytetrafluoroethylene;
Popliteal Artery;
Saphenous Vein;
Sturge-Weber Syndrome;
Thrombosis;
Tibial Arteries;
Transplants;
Ulcer;
Varicose Ulcer;
Varicose Veins;
Venous Insufficiency
- From:Vascular Specialist International
2019;35(3):165-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
