Document Detail


The seven-year' secondary patency of a fresh arterial allograft in the femorocrural position in a heart transplant recipient.
MedLine Citation:
PMID:  20599350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Critical limb ischemia in patients with diabetes at the organ complication stage represents a considerable challenge in vascular medicine. Because of the complexity of the disease and the often symmetric involvement of both lower limbs, a discrepancy between suitable vascular conduit availability and the actual requirement can occur: notably, the prevalence of multilevel and diffuse arterial disease often limits the possibilities of endovascular treatment, and, in surgical cases, frequently prohibits the effective use of prosthetic material. In our patient with bilateral critical limb ischemia and previous coronary artery bypass graft followed by cardiac transplantation, only one great saphenous vein remained available. That was used in its entirety to salvage one limb as a sequential femorocrural bypass. A similar surgical procedure with a fresh arterial allograft retrieved from a deceased donor was performed on the other extremity . ABO compatibility as well as the chronic immunosuppressive therapy in a heart transplant recipient may have contributed to the favorable long-term clinical outcome of the allogeneic arterial reconstruction.
Authors:
Pavel Sebesta; Petr Stádler; Petr Sedivý; Karel Bartík
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-06
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  953.e7-953.e10     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Vascular Surgery, Na Homolce Hospital, Prague, Czech Republic. pavel.sebesta@homolka.cz
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MeSH Terms
Descriptor/Qualifier:
Arteries / transplantation
Diabetic Angiopathies / etiology,  physiopathology,  surgery*
Female
Femoral Artery / physiopathology,  surgery*
Heart Transplantation*
Humans
Immunosuppressive Agents / administration & dosage
Ischemia / etiology,  physiopathology,  surgery*
Lower Extremity / blood supply*
Magnetic Resonance Angiography
Middle Aged
Peripheral Arterial Disease / etiology,  physiopathology,  surgery*
Saphenous Vein / transplantation
Time Factors
Transplantation, Homologous
Treatment Outcome
Vascular Grafting*
Vascular Patency*
Chemical
Reg. No./Substance:
0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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