Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass

Autor: Sam Taylor, MB, BCh, BAO, Sinead Gormley, MB, BCh, BAO, Maria Mani, MD, PhD, Kevin Mani, MD, PhD, FEBVS, Manar Khashram, PhD, FRACS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 4, Pp 101233- (2023)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2023.101233
Popis: Inframalleolar bypass is an effective intervention for chronic limb threatening ischemia. A successful outcome can be compromised by early pedal wound disruption with secondary bypass exposure. We describe the case of a 74-year-old man with a WIfI (wound, ischemia, foot infection) clinical stage 4 foot who underwent popliteal–dorsalis pedis bypass, complicated by early skin necrosis overlying the pedal anastomosis. This necessitated a multidisciplinary approach to obtain tissue coverage over the anastomosis. The wound healed within 28 days, and at 2 years, the patient was mobilizing independently. We outline the approach taken and discuss the management of this challenging limb salvage problem.
Databáze: Directory of Open Access Journals