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Date Published: 01/02/2021
Abstract Views: 201
Views PDF: 293
DOI: https://doi.org/10.47972/vjcts.v30i.483
Issue
Vol. 30
Section
Research Article
How to Cite
Thang, D. N., Hung, D. Q., Uoc, N. H., & Son, P. D. H. (2021). Bypass surgery for chronic ischemia of the upper extremity: one case-report and review of literature. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 30, 126-130. https://doi.org/10.47972/vjcts.v30i.483

Bypass surgery for chronic ischemia of the upper extremity: one case-report and review of literature

Duoc Ngoc Thang, Doan Quoc Hung, Nguyen Huu Uoc, Phung Duy Hong Son

Main Article Content

Abstract

52-year-old female, hospitalized for pain and numbness in her left forearm constantly due to left arm artery occlusion who had 6 months of medical treatment did not improve. The patient underwent an arterial bypass surgery between brachial artery and ulnar artery by autologousreversed greater saphenous vein. Clinical symptoms improved after surgery, computed tomography and ultrasound examination showed good result. The microbiopsy shows an image of an inflammatory cell infiltration in the tunica media of the vascular wall. Chronic ischemia of the upper extremity is a rare disease with diverse causes. The standard of diagnosis is vascular biopsy during surgery. Reconstructive vascular surgery using autologous vascular material provides good results.


 

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References

1. Bergqvist D, Ericsson B.F., Konrad Pet al. (1983). Arterial surgery of the upper extremity. World J Surg, 7, 786-791.
2. Mesch C.L., McCarty W.J., Pearce W.H.et al. (1993). Upper extremity bypass grafting. A 15-years experience. Arch Surg, 128, 795-801.
3. Brunkwall J, Bergqvist D, Bergentz S.E. (1994). Long-term results of arterial reconstruction of the upper extremity. Eur J Vasc Surg, 8, 47-51.
4. F. Becker (2007). Artériopathies du membre supérieur. Rev Med Suisse, 3, 306-311.
5. Porter JM, Taylor LM (1994). Basic data underlying clinical decision making in vascular surgery, Quality Medical Publishing, Missouri.
6. Caiati JM, Masters CM, Todd Eet al. (2000). Symptomatic axillary artery dissection in a tennis player. Am J Sports Med, 28, 411-412.
7. Uder M Scheffler P, Gross J, et al (2003). Dissection of the proximal subclavian artery with consecutive thrombosis and embolic occlusion of the hand arteries after playing golf. Am J Sports Med, 31, 137-140.
8. Shadman R, Criqui M, Bundens Wet al. (2004). Subclavian artery stenosis : Prevalence, risk factors and association with cardiovascular diseases. JACC, 44, 618-623.
9. Skopinski S, Constans J, Cherifi Het al. (1999). Artériopathie inflammatoire des membres supérieurs au cours de la maladie de Horton. J Mal Vasc, 24, 45-48.
10. Assie C, Janvresse A, Plissonnier Det al.(2011). Longterm follow-up of giant cell arteritis. A series of 36 patients. Medicine (Baltimore), 90, 40-51.
11. Bengtsson BA, Malmvall BE (1981). Prognosis of giant cell arteritis including temporal arteritis and polymyalgia rheumatica. A follow-up study on ninety patients treated with corticosteroids. Acta Med Scand, 209, 337-345.
12. Greene GM, Lain D, Sherwin RMet al. (1986). Giant cell arteritis of the legs. Clinical isolation of severe disease with gangrene and amputations. Am J Med, 81, 727-733.
13. Kakra Hughes, Allen Hamdan, Marc Schermerhornet al. (2007). Bypass for chronic ischemia of the upper extremity: Results in 20 patients. Journal of vascular surgery, 46, 303-307.
14. F. Spinelli, F. Benedetto, G. Passariet al.(2010). Bypass Surgery for the Treatment of Upper Limb Chronic Ischaemia. Eur J Vasc Endovasc Surg, 39, 165-170.
15. Roddy SP, Darling 3rd RC, Chang BBet al. (2001). Brachial artery reconstruction for occlusive disease: a 12-year experience. J Vasc Surg, 33, 802-805. 16. Raposio E, Filippi F, Renzi Met al. (2001). Minimally-invasive endoscopic transthoracic sympathectomy