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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 December;171(6):829-31

language: English

A thrombosed graft left in the femoral area which led to an embolism

Nakayama M.

Department of Vascular Surgery, Kanoiwa Hospital, Yamanashi-City, Japan


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A 75-year-old male presented with the chief complaint of acute severe pain in his right lower extremity. He had undergone a femorofemoral crossover bypass operation 11 years previously. It became thrombosed soon after the surgery and a substitute right-sided aortoiliac bypass was immediately performed, and remained patent. During the present admission, an emergency operation revealed a hard embolus obstructing the right common femoral artery. The embolus was an old thrombus, which was considered to originate from the femorofemoral graft that had become thrombosed 11 years earlier. This is the first case report of an embolism that derived from a previously thrombosed prosthetic bypass graft in the femoral area.

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