Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492007000200011
Jornal Vascular Brasileiro
Case Report

Derivação com veias de membro superior após trombólise de aneurisma de artéria poplítea: alternativa para salvamento de membro

Arm vein bypass after popliteal artery aneurysm thrombolysis: an alternative for limb salvage

João Antonio Corrêa; Maria Carolina Cozzi Pires de Oliveira Dias; Alexandre César Fioretti; Yumiko Regina Yamazaki; João Paulo Maffei Jr.; Rogério Duque de Almeida; Fabio Roberto Batistela; Ohannes Kafejian

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Resumo

Os autores relatam um caso de aneurisma de artéria poplítea trombosado em que se realizou fibrinólise com sucesso na fase aguda. Foram utilizadas veias de braço para realização do enxerto e exclusão do aneurisma, pois o paciente havia sido previamente submetido à safenectomia bilateral e revascularização do miocárdio com as veias do outro braço. Apesar das dificuldades, o salvamento do membro foi alcançado.

Palavras-chave

Aneurisma, artéria poplítea fibrinólise, veias de braço

Abstract

The authors report a case of a thrombosed popliteal artery aneurysm successfully treated by fibrinolysis in its acute stage. Arm veins were used to perform a bypass and aneurysm exclusion, since the patient had previously been submitted to bilateral saphenous vein stripping and myocardial revascularization using the veins of the other arm. Despite the difficulties, limb salvage was achieved.

Keywords

Aneurysm, popliteal artery, fibrinolysis, arm veins

References

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