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The seven-year' secondary patency of a fresh arterial allograft in the femorocrural position in a heart transplant recipient.

Abstract：

: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.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Sebesta P,Stádler P,Sedivý P,Bartík K

doi

10.1016/j.avsg.2010.02.049

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

953.e7-953.e10

issue

7

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(10)00147-0

journal_volume

24

pub_type

杂志文章

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