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Abstract
Vascular injuries are described as chronic complications in patients with homozygous sickle cell disease, which can lead to peripheral arterial obstruction. Emergency CT angiography is necessary to plan revascularization therapy. We report a case of young homozygous sickle cell disease patient, with total left iliac artery obstruction with presence of trophic disorders ; who underwent a femorofemoral crossover bypass and extremity amputation.
RÉSUMÉ
Les lésions vasculaires sont décrites comme des complications chroniques chez des patients présentant la drépanocytose homozygote, ce qui peut conduire à des occlusions des artères périphériques. Un angioscanner en urgence est nécessaire pour planifier la revascularisation. Nous rapportons le cas d’une jeune patiente drépanocytaire homozygote, avec occlusion de l’artere iliaque primitive gauche avec necrose du pied ; qui a beneficié d’un pontage femorofemoral croisé associé à une amputation du tiers inférieur de la jambe.
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References
- Reiter CD, Wang X, Tanus-Santos JE, et al. Cell-free hemoglobin limits nitric oxide bioavailability in sickle-cell disease. Nat Med 2002 ;8 :1383–1389.
- Herrick JB. Peculiar elongated and sickle-shaped red blood corpuscles in a case of severe anemia. 1910. Yale J Biol Med 2001;74:179–184.
- M. Halabi-Tawil,* F. Lionnet, R. Girot et al. Sickle cell leg ulcers: a frequently disabling complication and a marker of severity.British Journal of Dermatology 2008 158, pp339–344.
- T.V. Mulaudzi,* J.V. Robbs, W. Pillay, B. Pillay et al. Thrombectomy in HIV Related Peripheral Arterial Thrombosis: A Preliminary Report. Eur J Vasc Endovasc Surg 2005 ;30 : 102–106.
- R. Nair*,1 , J. V. Robbs1 , R. Chetty2 , N. G. Naidoo1, J. Woolgar1.Occlusive Arterial Disease in HIV-infected Patients: a Preliminary Report. Eur J Vasc Endovasc Surg 2000 ;2 : 353–357.
- Ronald A. Ashersona, Ricard Cerverab, Yehuda Shonefeldc. Peripheral Vascular Occlusions Leading to Gangrene and Amputations in Antiphospholipid Antibody Positive Patients. Ann. N.Y. Acad. Sci. 2007 ;1108: 515–529.
- Laura Capoccia, Vincent Riambau, Marcio da Rocha. Is Femorofemoral Crossover Bypass an Option in Claudication?. Ann Vasc Surg 2010; 24: 828-832.
References
Reiter CD, Wang X, Tanus-Santos JE, et al. Cell-free hemoglobin limits nitric oxide bioavailability in sickle-cell disease. Nat Med 2002 ;8 :1383–1389.
Herrick JB. Peculiar elongated and sickle-shaped red blood corpuscles in a case of severe anemia. 1910. Yale J Biol Med 2001;74:179–184.
M. Halabi-Tawil,* F. Lionnet, R. Girot et al. Sickle cell leg ulcers: a frequently disabling complication and a marker of severity.British Journal of Dermatology 2008 158, pp339–344.
T.V. Mulaudzi,* J.V. Robbs, W. Pillay, B. Pillay et al. Thrombectomy in HIV Related Peripheral Arterial Thrombosis: A Preliminary Report. Eur J Vasc Endovasc Surg 2005 ;30 : 102–106.
R. Nair*,1 , J. V. Robbs1 , R. Chetty2 , N. G. Naidoo1, J. Woolgar1.Occlusive Arterial Disease in HIV-infected Patients: a Preliminary Report. Eur J Vasc Endovasc Surg 2000 ;2 : 353–357.
Ronald A. Ashersona, Ricard Cerverab, Yehuda Shonefeldc. Peripheral Vascular Occlusions Leading to Gangrene and Amputations in Antiphospholipid Antibody Positive Patients. Ann. N.Y. Acad. Sci. 2007 ;1108: 515–529.
Laura Capoccia, Vincent Riambau, Marcio da Rocha. Is Femorofemoral Crossover Bypass an Option in Claudication?. Ann Vasc Surg 2010; 24: 828-832.