Percutaneous balloon angioplasty for the treatment of iliofemoral arterial stenosis resulting from hyperhomocysteinemia in a child

Angioplasty has long been used in the treatment of peripheral arterial occlusive disease with variable long-term results. In this case report, we present a patient with marfanoid features and acute ischemia of the lower extremity. Angioplasty provided us with the means of emergently relieving the ac...

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Bibliographic Details
Published in:Pediatric radiology 2003-08, Vol.33 (8), p.546-550
Main Authors: MAYNAR, Manuel, LOPEZ-BENITEZ, Rubén, KIRSCH, David S, GOMEZ-SIRVENT, Jorge, ZEROLO-SAEZ, Ignacio, ZHONG QIAN
Format: Article
Language:English
Subjects:
Adolescent
Angioplasty, Balloon
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - therapy
Biological and medical sciences
Errors of metabolism
Femoral Artery
Humans
Hyperhomocysteinemia - complications
Iliac Artery
Male
Medical sciences
Metabolic diseases
Miscellaneous hereditary metabolic disorders
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Summary:Angioplasty has long been used in the treatment of peripheral arterial occlusive disease with variable long-term results. In this case report, we present a patient with marfanoid features and acute ischemia of the lower extremity. Angioplasty provided us with the means of emergently relieving the acute symptoms. The patient was subsequently found on further work-up to have hyperhomocysteinemia (HC) and appropriate medical therapy was initiated. We conclude that angioplasty should be considered in pediatric patients with acute occlusive limb ischemia, providing excellent immediate results to preserve the limb as well as the time to investigate the underlying causes.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-003-0917-6