ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Successful short bypass to dorsalis pedis artery in a diabetic patient
Can Çağlar Erdem, Nobuyoshi Azuma, Akira Nagamine, Keijiro Mitsube, Tadahiro Sasajima
Department of Surgery, Medicine Faculty of Asahikawa University, Japan
We report a 59-year-old diabetic male patient with a small but intractable ulcer on his right distal sole. Magnetic resonance angiography revealed disease-free peroneal and anterior tibial arteries continuing down to the ankle; however, plantar arteries were occluded at their point of origin and a short segment of proximal occlusion was found in the dorsalis pedis artery. The toe-systemic pressure index was 0.28, suggesting ischemia in the distal foot. A peroneal- dorsalis pedis arterial short bypass with an in-situ saphenous vein graft was performed; thereafter, the patient's ulcer regressed markedly. Present results justify an aggressive bypass strategy in patients with localized occlusive foot lesions.
Keywords : Critical limb ischemia; diabetic atherosclerosis; pedal bypass; prostaglandin E1
Viewed : 11063
Downloaded : 2630