PDF(Pubmed)
Abstract：
A 72-year-old man presented with intermittent claudication and a foot ulcer. Computed tomography revealed severe calcification and occlusion of the left femoral artery and calcification and stenosis from the superficial femoral artery to the popliteal artery. Thromboendarterectomy (TEA) and anterior reconstruction of the femoral artery with a bovine pericardium patch were performed. We sutured the great saphenous vein on the bovine pericardium patch for bypass inflow after creating an anastomosis hole with a puncher and performed an in situ femorotibial bypass. This technique helped us achieve a smooth and clean anastomosis. In situ vein graft anastomosis might be difficult on severely atherosclerotic femoral artery after TEA and difficult anastomosis increases the risk of bypass occlusion. Anastomosis on the bovine pericardium patch for bypass inflow might ensure smooth and clean anastomosis in patients with severe atherosclerosis of the femoral artery.
摘要：
一名72岁的男子出现间歇性跛行和足部溃疡。计算机断层扫描显示左股动脉严重钙化和闭塞，从股浅动脉到pop动脉的钙化和狭窄。进行了血栓内膜切除术（TEA）和牛心包补片股动脉前重建。在用打孔器创建吻合孔并进行原位股胫骨旁路后，我们将大隐静脉缝合在牛心包膜上，以进行旁路流入。这种技术帮助我们实现了平滑和干净的吻合。在TEA后严重动脉粥样硬化的股动脉上，原位静脉移植物吻合可能很困难，并且困难的吻合会增加旁路闭塞的风险。用于旁路流入的牛心包贴片上的吻合可以确保患有严重的股动脉粥样硬化的患者的吻合顺利和清洁。
