Revascularization of femoropopliteal artery occlusion in Werner's syndrome. Report of a case and review of surgical literature in cardiovascular lesions.

Abstract

A patient with Werner's syndrome suffering from a chronic ulcer on the right ankle joint underwent femoropopliteal bypass and patch angioplasty combined with endarterectomy of the distal popliteal artery. Postoperative angiography showed satisfactory graft patency and distal run-off, and the ulcer improved. Femoropopliteal occlusive disease in Werner's syndrome tends to have poor run-off and the internal diameter of the popliteal artery with diffuse arteriosclerotic lesion is often too small to facilitate distal anastomosis. Therefore, a conventional bypass procedure is not always effective and an aggressive attitude is essential to obtain sufficient ankle blood pressure and improve the leg ulcer in Werner' syndrome.

• Authors: K Akiyama, A Takazawa, N Taniyasu, H Sato
• Journal: The Journal of cardiovascular surgery (J Cardiovasc Surg (Torino)) Vol. 41 Issue 2 Pg. 303-6 (Apr 2000) ISSN: 0021-9509 [Print] Italy
• PMID: 10901541 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Anastomosis, Surgical
• Angiography
• Arterial Occlusive Diseases (complications, diagnostic imaging, surgery)
• Blood Vessel Prosthesis Implantation
• Female
• Femoral Artery (surgery)
• Foot Ulcer (etiology, surgery)
• Humans
• Middle Aged
• Popliteal Artery (surgery)
• Saphenous Vein (transplantation)
• Werner Syndrome (complications)