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
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- EP ID EP305842
- DOI 10.9734/CA/2017/36638
- Views 88
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