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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 April;41(2):303-6

lingua: Inglese

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

Akiyama K., Takazawa A., Taniyasu N., Sato H.

From the Department of Cardiovascular Surgery Iwaki Kyoritsu General Hospital Iwaki City, Fukushima, Japan


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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. Postopera-tive 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.

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