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Interact Cardiovasc Thorac Surg. 2008 Dec;7(6):1137-40. doi: 10.1510/icvts.2008.183681. Epub 2008 Sep 16.

Upper limb ischemia in a patient with Wegener's granulomatosis.

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1
Departamento de Angiologia e Cirurgia Vascular, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal. miguelopmm@hotmail.com

Abstract

OBJECTIVES:

We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb.

CASE:

A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed.

RESULTS:

After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions.

CONCLUSION:

Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.

PMID:
18796474
DOI:
10.1510/icvts.2008.183681
[Indexed for MEDLINE]
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