Femorofemoral Bypass, Even in Pregnancy: A Case Report

A 29-year-old pregnant woman sustained blunt, left lower abdominal trauma, with hip and pelvic fractures, and progressive dissection of an intimal flap in the left iliac artery, which manifested two days later as profound ischemia of the left leg. The patient underwent distal thromboembolectomy, fas...

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Bibliographic Details
Published in:Angiology 2000-04, Vol.51 (4), p.331-333
Main Authors: Avrahami, Ram, Dahan, Jack, Stelman, Eldad, Koren, Arnon, Zelikovski, Avigdor, Haddad, Menashe
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Accidents, Traffic
Adult
Biological and medical sciences
Blood Vessel Prosthesis Implantation
Female
Femoral Artery - injuries
Femoral Artery - surgery
Humans
Ischemia - etiology
Leg - blood supply
Medical sciences
Pregnancy
Pregnancy Complications, Cardiovascular - etiology
Pregnancy Complications, Cardiovascular - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tropical medicine
Wounds, Nonpenetrating - complications
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Summary:A 29-year-old pregnant woman sustained blunt, left lower abdominal trauma, with hip and pelvic fractures, and progressive dissection of an intimal flap in the left iliac artery, which manifested two days later as profound ischemia of the left leg. The patient underwent distal thromboembolectomy, fasciotomies and revascularization of the leg by femorofemoral polytetrafluoroethylene bypass. The patient recovered completely and gave normal birth three months later to a healthy child. Four years after the operation she gave uneventful birth to another child. Various considerations pertinent to this complex traumatic-vascular-gestational state are discussed.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331970005100409