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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Main Authors:	Jason L. Schwarz, MD, Rolla Zarifa, MD, Lawrence J. Gottlieb, MD, Christopher M. Sullivan, MD, Grace Z. Mak, MD, Christopher L. Skelly, MD
Format:	Article
Language:	English
Published:	Elsevier 2020-12-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:	Pediatric Vascular trauma Limb length discrepancy Bypass graft Microsurgery Limb ischemia
Online Access:	http://www.sciencedirect.com/science/article/pii/S246842872030143X

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spelling	doaj-7c93ddb053434ee29bd09a34f94491362020-12-27T04:31:17ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-12-0164641645Microsurgical vascular bypass in the setting of pediatric limb length discrepancyJason L. Schwarz, MD0Rolla Zarifa, MD1Lawrence J. Gottlieb, MD2Christopher M. Sullivan, MD3Grace Z. Mak, MD4Christopher L. Skelly, MD5Section of General Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Vascular Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllDepartment of Orthopedic Surgery, University of Chicago Medicine, Chicago, IllSection of Pediatric Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Vascular Surgery, Department of Surgery, University of Chicago Medicine, Chicago, Ill; Correspondence: Christopher L. Skelly, MD, Section of Vascular Surgery, Department of Surgery, University of Chicago Medicine, 5841 S Maryland Ave, MC 5028, Chicago, IL 60637Management 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.http://www.sciencedirect.com/science/article/pii/S246842872030143XPediatricVascular traumaLimb length discrepancyBypass graftMicrosurgeryLimb ischemia
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Jason L. Schwarz, MD Rolla Zarifa, MD Lawrence J. Gottlieb, MD Christopher M. Sullivan, MD Grace Z. Mak, MD Christopher L. Skelly, MD
spellingShingle	Jason L. Schwarz, MD Rolla Zarifa, MD Lawrence J. Gottlieb, MD Christopher M. Sullivan, MD Grace Z. Mak, MD Christopher L. Skelly, MD Microsurgical vascular bypass in the setting of pediatric limb length discrepancy Journal of Vascular Surgery Cases and Innovative Techniques Pediatric Vascular trauma Limb length discrepancy Bypass graft Microsurgery Limb ischemia
author_facet	Jason L. Schwarz, MD Rolla Zarifa, MD Lawrence J. Gottlieb, MD Christopher M. Sullivan, MD Grace Z. Mak, MD Christopher L. Skelly, MD
author_sort	Jason L. Schwarz, MD
title	Microsurgical vascular bypass in the setting of pediatric limb length discrepancy
title_short	Microsurgical vascular bypass in the setting of pediatric limb length discrepancy
title_full	Microsurgical vascular bypass in the setting of pediatric limb length discrepancy
title_fullStr	Microsurgical vascular bypass in the setting of pediatric limb length discrepancy
title_full_unstemmed	Microsurgical vascular bypass in the setting of pediatric limb length discrepancy
title_sort	microsurgical vascular bypass in the setting of pediatric limb length discrepancy
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2020-12-01
description	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.
topic	Pediatric Vascular trauma Limb length discrepancy Bypass graft Microsurgery Limb ischemia
url	http://www.sciencedirect.com/science/article/pii/S246842872030143X
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Microsurgical vascular bypass in the setting of pediatric limb length discrepancy

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