A Young Woman with Inevitable Limb Loss

A Young Woman with Inevitable Limb Loss

We report a pitfall in the management of a young 43-year-old female who presented with a history of claudication and threaten limb loss. Inappropriate axillobifemoral bypass graft surgery was performed, resulting in perioperative graft failure with progressive inevitable gangrene of the left leg. R...

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Bibliographic Details
Main Authors: Damras Tresukosol, Chanean Ruansetakit, Suneerat Kongsayreepong
Format: Article
Language:English
Published: Mahidol University 2020-08-01
Series:Siriraj Medical Journal
Subjects:
Woman
Inevitable Limb Loss
Online Access:https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244659
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spelling doaj-912f0ce91a3e4203a68c67393e504a0d2021-08-13T09:42:45ZengMahidol UniversitySiriraj Medical Journal2228-80822020-08-01536A Young Woman with Inevitable Limb LossDamras Tresukosol0Chanean Ruansetakit1Suneerat Kongsayreepong2Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok We report a pitfall in the management of a young 43-year-old female who presented with a history of claudication and threaten limb loss. Inappropriate axillobifemoral bypass graft surgery was performed, resulting in perioperative graft failure with progressive inevitable gangrene of the left leg. Rescue surgery was performed to salvage the right limb but she developed perioperative myocardial infarction. Delayed amputation was justified, pre-operative cardiac evaluation and aggressive percutaneous coronary intervention was performed followed by an uneventful definitive below-knee amputation of left leg. The patient was discharged and was referred for a left leg prosthesis. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244659WomanInevitable Limb Loss
collection DOAJ
language English
format Article
sources DOAJ
author Damras Tresukosol
Chanean Ruansetakit
Suneerat Kongsayreepong
spellingShingle Damras Tresukosol
Chanean Ruansetakit
Suneerat Kongsayreepong
A Young Woman with Inevitable Limb Loss
Siriraj Medical Journal
Woman
Inevitable Limb Loss
author_facet Damras Tresukosol
Chanean Ruansetakit
Suneerat Kongsayreepong
author_sort Damras Tresukosol
title A Young Woman with Inevitable Limb Loss
title_short A Young Woman with Inevitable Limb Loss
title_full A Young Woman with Inevitable Limb Loss
title_fullStr A Young Woman with Inevitable Limb Loss
title_full_unstemmed A Young Woman with Inevitable Limb Loss
title_sort young woman with inevitable limb loss
publisher Mahidol University
series Siriraj Medical Journal
issn 2228-8082
publishDate 2020-08-01
description We report a pitfall in the management of a young 43-year-old female who presented with a history of claudication and threaten limb loss. Inappropriate axillobifemoral bypass graft surgery was performed, resulting in perioperative graft failure with progressive inevitable gangrene of the left leg. Rescue surgery was performed to salvage the right limb but she developed perioperative myocardial infarction. Delayed amputation was justified, pre-operative cardiac evaluation and aggressive percutaneous coronary intervention was performed followed by an uneventful definitive below-knee amputation of left leg. The patient was discharged and was referred for a left leg prosthesis.
topic Woman
Inevitable Limb Loss
url https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244659
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AT suneeratkongsayreepong ayoungwomanwithinevitablelimbloss
AT damrastresukosol youngwomanwithinevitablelimbloss
AT chaneanruansetakit youngwomanwithinevitablelimbloss
AT suneeratkongsayreepong youngwomanwithinevitablelimbloss
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