Hiertonn, T.; Lund, F.; Philipson, J.
June 1956
Angiology;Jun1956, Vol. 7 Issue 3, p233
Academic Journal
A case of thromboangiitis obliterans in a 43-year-old woman is described. Despite prolonged and intensive medication, the peripheral arterial insufficiency led to grave nutritional disturbances in the foot, including necrosis of the toes. Amputation above or possibly below the knee joint was considered. Arteriography revealed a 10-cm arterial obstruction in the femoral popliteal artery. Local re section and reconstruction of the arterial pathway with a venous graft led to rapid regression of the severe signs of ischemia and healing of the ulcers. The formerly incapacitated woman was in very found condition 3½ years after the operation, able-bodied and with only slight symptoms. In order not to overlook the possibility of this type of surgical therapy, it is important that a careful analysis of the arterial network be made in cases of peripheral arterial insufficiency. The result in this case demonstrates the importance of reconstruction of the main artery even in the presence of areas of occlusion in medium-sized and small distal arteries.


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