Microsurgical repair of neonatal iliac artery injuries with saphenous vein grafts
| Autor: | John A. LoGiudice, Matthew E Braza, William W. Dzwierzynski, Karri A. Adamson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Cardiac Catheterization
Microsurgery medicine.medical_specialty Heart disease medicine.medical_treatment Aftercare Femoral artery 030204 cardiovascular system & hematology 030230 surgery Iliac Artery Avulsion 03 medical and health sciences 0302 clinical medicine Ischemia medicine.artery medicine Humans Saphenous Vein Vein Cardiac catheterization Foot business.industry Infant Newborn Infant External iliac artery Vascular System Injuries medicine.disease Common iliac artery Surgery Femoral Artery medicine.anatomical_structure Pediatrics Perinatology and Child Health Female Vascular Grafting business Foot (unit) |
| Zdroj: | Journal of Neonatal-Perinatal Medicine. 11:105-108 |
| ISSN: | 1878-4429 1934-5798 |
| Popis: | Two neonates with congenital heart disease, one and thirty-one days old respectively, suffered inadvertent arterial injury from cardiac catheterization. Both insults resulted in unrecognized avulsion of the external iliac artery from its origin. The patients quickly decompensated, with their right lower extremities becoming critically ischemic. In both cases, segments of reversed greater saphenous vein were used as interposition grafts from the common iliac artery to the common femoral artery. Reperfusion of the right foot was immediate for the one-day-old. She is now three years old and able to run, but is followed for a mild limb length discrepancy. The 31-day-old had restoration of flow to the right limb; however, the foot remained ischemic and eventually required transmetatarsal amputation. She is now 16 months old and able to crawl; she also is followed for limb length discrepancy. Without vein grafting, both infants would likely have lost their affected limbs, and possibly lost their lives. These cases advocate for microsurgical repair of arterial injuries in even the youngest patients, and promote the use of vein grafts when direct anastomosis is not feasible. |
| Databáze: | OpenAIRE |
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