Vasc Spec Int.  2019 Sep;35(3):165-169. 10.5758/vsi.2019.35.3.165.

Thrombosis of a Long-Segment Aneurysm from the Iliac to Popliteal Artery Associated with Arteriovenous Malformation and Varicose Veins

Affiliations
  • 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. skminmd@snuh.org

Abstract

A 58-year-old male patient with severe claudication due to thrombosis of the left ilio-femoro-popliteal artery aneurysm. He also had a venous stasis ulcer with a history of multiple embolotherapy of arteriovenous malformation. Duplex sonography revealed reflux and varicose veins of the left great saphenous vein (GSV). A sequential bypass surgery was performed that consisted of excision of the left external iliac and common femoral artery aneurysm, external iliac to deep femoral interposition with an expanded polytetrafluoroethylene graft, and femoro-posterior tibial artery bypass with the reversed left GSV. Symptoms of claudication were alleviated and the chronic ulcer was healed in time. To our knowledge, this is the first report of successful bypass in a patient with arterial aneurysm, arteriovenous malformation, and venous insufficiency that can be diagnosed as an atypical case of Parkes Weber syndrome. Long-term follow-up is needed to define the fate of aneurysms and varicose vein graft.

Keyword

Arteriovenous malformations; Aneurysm; Varicose veins; Parkes Weber syndrome; Thrombosis

MeSH Terms

Aneurysm*
Arteries
Arteriovenous Fistula
Arteriovenous Malformations*
Embolization, Therapeutic
Femoral Artery
Follow-Up Studies
Humans
Male
Middle Aged
Polytetrafluoroethylene
Popliteal Artery*
Saphenous Vein
Sturge-Weber Syndrome
Thrombosis*
Tibial Arteries
Transplants
Ulcer
Varicose Ulcer
Varicose Veins*
Venous Insufficiency
Polytetrafluoroethylene
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