Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492005000400016
Jornal Vascular Brasileiro
Case report

Blue toe syndrome

Paulo Eduardo Ocke Reis

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Abstract

The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis. Blue toe syndrome is characterized by tissue ischemia secondary to embolization of cholesterol crystals or atherothrombotic debris. Microembolization most often occurs in elderly men who undergo an invasive vascular procedure or have an aneurysm.

Keywords

blue toe syndrome, atherosclerosis, aortic aneurysm, renal artery stenosis

References

Applebaum RM, Kronzon I. Evaluation and management of cholesterol embolisation and the blue toe syndrome. Curr Opin Cardiol. 1996;11:533-42.

Caldwell BD, Marrochello VS. Microembolization from atheroembolic disease or aneurysm: A case study. J Am Podiatry Med Assoc. 1996;86:249-52.

Greenhalgh RM. Comparison of endovascular aneurism repair with open repair in patients with abdominal aortic aneurysm (EVAR Trial 1), 30-day operative mortality results: randomized controlled trial. Lancet. 2004;364:843-8.

Lederle FA, Wilson SE. Immediate repair compared with surveillance of small abdominal aortic aneurisms. N Engl J Med. 2002;346:1437-44.

Prinssen M, Verhoeven EL, Buth J. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607-18.

Burket MW, Cooper CJ, Kennedy DJ. Renal artery angioplasty and stent placement: predictors of a favorable outcome. Am Heart J. 2000;139:64-71.

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