A Non-Atherogenic Cause of Critical Limb Ischemia in a Young Adult
Journal Title: Cardiology and Angiology: An International Journal - Year 2017, Vol 6, Issue 4
Abstract
Aim: Atherosclerosis is the most common etiology of obstruction of the arteries leading to limb ischemia. Critical limb ischemia (CLI) in a young adult we need to consider non-atherosclerotic diseases. Case Presentation: We present a rare of cause CLI in a 35-year-old man who presented with Rutherford class VI symptoms of non-healing gangrenous right great toe. His angiograms revealed medial type of fibromuscular dysplasia (FMD) and underwent endovascular therapy. Multiple interventions with balloon angioplasty, laser atherectomy and Ultrasound-accelerated catheter-directed thrombolysis in three different settings were needed to achieve desired results. Discussion and Conclusion: In most cases of FMD balloon angioplasty itself is sufficient. But below knee arteries might need more than one intervention as noted in this case.
Authors and Affiliations
Jagadeesh K. Kalavakunta, Yashwant Agrawal, Elizabeth Sayers, Fadi Saab, J. A. Mustapha
Keywords
Related Articles
- EP ID EP305842
- DOI 10.9734/CA/2017/36638
- Views 71
- Downloads 0
Which Graft must be Preferred in Firearm Injury of the Axillary Artery
Aims: Interposition graft technique is used mostly in firearm wounds of axillary artery, because of excessive defect of the vessel. Autologous vein has been preferred in general application, even though there is a mild s...
Cavitary Pulmonary Aspergilloma after Norwood-I-Procedure - A Rare Complication after Delayed Sternal Closure in a Patient with HLHS
The presented case is the first to report on a child with hypoplastic left heart syndrome (HLHS) with invasive aspergillosis (IA) progressing to cavitary pulmonary aspergillosis after Norwood stage I procedure.
Thrombosis of Extra-cardiac Fontan, an Institutional Experience
Background: Thromboembolism can complicate Fontan surgery. There are few well designed studies in the literature to determine the epidemiology of thrombosis after Fontan. Methods: We report the experience of King Faisal...
Left Ventricular Hypertrophy and Incidence of Acute Coronary Heart Disease and Mortality in the Reasons for Geographic and Racial Differences in Stroke Study (REGARDS)
Objective: To examine the relationship between left ventricular hypertrophy (LVH) and the incidence of acute coronary heart disease (CHD) and mortality in the modern era. Methods: We studied 16, 390 black and white par...
Central Venous Catheter in Obese Patient May Even Cause Cor Pulmonale
Introduction: Sometimes the needless usage of central venous catheter, conflicting with indications, has been witnessed. Unfortunately, incidence of axillary-subclavian venous thrombosis has risen gradually because of in...