Microsurgical vascular bypass in the setting of pediatric limb length discrepancy

Management of pediatric iatrogenic arterial occlusions can be challenging clinically, leading to chronic complications such as claudication and limb length discrepancy. We report the case of a 6-month-old female patient who had experienced iatrogenic right external iliac and common femoral arterial...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 6; no. 4; pp. 641 - 645
Main Authors Schwarz, Jason L., Zarifa, Rolla, Gottlieb, Lawrence J., Sullivan, Christopher M., Mak, Grace Z., Skelly, Christopher L.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2020
Elsevier
Subjects
Bypass graft
Case report
Limb ischemia
Limb length discrepancy
Microsurgery
Pediatric
Vascular trauma
Bypass graft
Microsurgery
Limb length discrepancy
Vascular trauma
Limb ischemia
Pediatric
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Summary:Management of pediatric iatrogenic arterial occlusions can be challenging clinically, leading to chronic complications such as claudication and limb length discrepancy. We report the case of a 6-month-old female patient who had experienced iatrogenic right external iliac and common femoral arterial occlusion. At the age of 8 years, she had developed claudication and a limb length discrepancy of 3.2 cm. She underwent common iliac artery to superficial femoral artery and profunda artery bypass via a branched autologous reverse great saphenous vein using microsurgical techniques for the distal anastomoses. In the present report, we have focused on the musculoskeletal improvements, benefits of microsurgery in pediatric vessels, and maximization of epiphyseal perfusion.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2020.08.022