Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome

We report a case of a 75-year-old man diagnosed with Parkes-Weber syndrome with an infected common femoral artery aneurysm secondary to chronic venous ulcers and groin infection. Given the symptomatic and rapid enlargement of the aneurysm, emergency aneurysmectomy and crossover femoro-femoral bypass...

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Main Authors: Natsumi Iijima, MD, Ryosuke Taniguchi, MD, PhD, Masaru Kimura, MD, PhD, Takuro Shirasu, MD, PhD, Toshio Takayama, MD, PhD, Katsuyuki Hoshina, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724002387
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author Natsumi Iijima, MD
Ryosuke Taniguchi, MD, PhD
Masaru Kimura, MD, PhD
Takuro Shirasu, MD, PhD
Toshio Takayama, MD, PhD
Katsuyuki Hoshina, MD, PhD
author_facet Natsumi Iijima, MD
Ryosuke Taniguchi, MD, PhD
Masaru Kimura, MD, PhD
Takuro Shirasu, MD, PhD
Toshio Takayama, MD, PhD
Katsuyuki Hoshina, MD, PhD
author_sort Natsumi Iijima, MD
collection DOAJ
description We report a case of a 75-year-old man diagnosed with Parkes-Weber syndrome with an infected common femoral artery aneurysm secondary to chronic venous ulcers and groin infection. Given the symptomatic and rapid enlargement of the aneurysm, emergency aneurysmectomy and crossover femoro-femoral bypass were performed with an omental flap routed intraluminally through the aneurysm of the ipsilateral external iliac artery. The transarterial route enabled the short-cutting of the omental flap and the potential prevention of infection in the adjacent external iliac artery. The patient’s condition was uneventful 9 months postoperatively.
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id doaj-art-23eb0f29785747ecb6b06577256bb9fd
institution Kabale University
issn 2468-4287
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-23eb0f29785747ecb6b06577256bb9fd2025-01-20T04:17:41ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101654Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndromeNatsumi Iijima, MD0Ryosuke Taniguchi, MD, PhD1Masaru Kimura, MD, PhD2Takuro Shirasu, MD, PhD3Toshio Takayama, MD, PhD4Katsuyuki Hoshina, MD, PhD5Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Division of Cardiovascular Surgery, Jichi Medical University Saitama Medical Center, Saitama, Japan; Correspondence: Ryosuke Taniguchi, MD, PhD, Division of Cardiovascular Surgery, Jichi Medical University Saitama Medical Center, 1-847 Amanuma-cho, Omiya-ku, Saitama-shi, Saitama 330-8503, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanWe report a case of a 75-year-old man diagnosed with Parkes-Weber syndrome with an infected common femoral artery aneurysm secondary to chronic venous ulcers and groin infection. Given the symptomatic and rapid enlargement of the aneurysm, emergency aneurysmectomy and crossover femoro-femoral bypass were performed with an omental flap routed intraluminally through the aneurysm of the ipsilateral external iliac artery. The transarterial route enabled the short-cutting of the omental flap and the potential prevention of infection in the adjacent external iliac artery. The patient’s condition was uneventful 9 months postoperatively.http://www.sciencedirect.com/science/article/pii/S2468428724002387Crossover bypassFemoral artery aneurysmInfected aneurysmOmentum flapParkes-Weber syndrome
spellingShingle Natsumi Iijima, MD
Ryosuke Taniguchi, MD, PhD
Masaru Kimura, MD, PhD
Takuro Shirasu, MD, PhD
Toshio Takayama, MD, PhD
Katsuyuki Hoshina, MD, PhD
Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
Journal of Vascular Surgery Cases and Innovative Techniques
Crossover bypass
Femoral artery aneurysm
Infected aneurysm
Omentum flap
Parkes-Weber syndrome
title Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
title_full Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
title_fullStr Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
title_full_unstemmed Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
title_short Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome
title_sort trans arterial omental flap protection for infected femoral artery aneurysm in a patient with parkes weber syndrome
topic Crossover bypass
Femoral artery aneurysm
Infected aneurysm
Omentum flap
Parkes-Weber syndrome
url http://www.sciencedirect.com/science/article/pii/S2468428724002387
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