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 87
- Downloads 0
Non-linear Analysis of Heart Rate Variability Improves Differential Diagnosis between Parkinson Disease and Multiple System Atrophy
Aims: Parkinson's disease (PD) and multiple system atrophy (MSA) are neurodegenerative disorders characterized by motor "parkinsonian" symptoms and non-motor symptoms related to autonomic nervous system (ANS) dysfunction...
Differential Enthalpy, Factor of Cardiac Power and Precursor of Work Power from the Nodal Tissue
Background: The blood can be considered as a real fluid flowing in fixed vibrating myocardial canal. Its ejection during the left ventricular contraction is the phenomenon hereby studied. The left ventricle has been take...
Can We Predict Preeclampsia?
Hypertensive disorders in pregnancy are a leading cause of peripartum morbidity and mortality. Preeclampsia is a heterogeneous maternal syndrome. Large studies have pointed out the association of impaired spiral artery...
Serum Zinc Levels do not Differ in Type 2 Diabetic Subjects with and without Coronary Artery Disease
Aims: The scope of this study is to investigate zinc levels in type 2 diabetic subjects with and without coronary artery disease (CAD). Place and Duration of Study: This study was performed in outpatient clinic of Gener...
Transcatheter Aortic Valve Implantation in an Octogenarian Patient with Single Coronary Artery
Aims: We herein report the case of a patient with severe aortic stenosis and a single coronary artery arising from the right sinus of valsalva, who successfully underwent transcatheter aortic valve implantation (TAVI)....