When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion
Background. Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case. A woman presented with increasing left lower extremity pain a...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/2432809 |
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| author | Sarah McGriff Paige Percer Iberia Sosa Hector Mendez-Figueroa Joseph L. Mills Manisha Gandhi |
| author_facet | Sarah McGriff Paige Percer Iberia Sosa Hector Mendez-Figueroa Joseph L. Mills Manisha Gandhi |
| author_sort | Sarah McGriff |
| collection | DOAJ |
| description | Background. Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case. A woman presented with increasing left lower extremity pain at 18 weeks of gestation with a complex history of PAD and a previous bifurcated aorta-left femoral, -right iliac bypass. CT angiogram demonstrated known occluded bypass graft. A multidisciplinary team of providers developed guidelines for potential surgical intervention based upon clinical symptoms. Conclusion. Pelvic PAD can worsen in pregnancy in the setting of the enlarging uterus, which can potentially deplete perfusion of existing collateral vessels. Symptomatic approach to worsening disease provided an effective management strategy in this case. |
| format | Article |
| id | doaj-art-891052bb37a64051971ecba9fd4a51c0 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-891052bb37a64051971ecba9fd4a51c02025-02-03T01:30:15ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/24328092432809When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft OcclusionSarah McGriff0Paige Percer1Iberia Sosa2Hector Mendez-Figueroa3Joseph L. Mills4Manisha Gandhi5Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABaylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABaylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABaylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABaylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABaylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USABackground. Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case. A woman presented with increasing left lower extremity pain at 18 weeks of gestation with a complex history of PAD and a previous bifurcated aorta-left femoral, -right iliac bypass. CT angiogram demonstrated known occluded bypass graft. A multidisciplinary team of providers developed guidelines for potential surgical intervention based upon clinical symptoms. Conclusion. Pelvic PAD can worsen in pregnancy in the setting of the enlarging uterus, which can potentially deplete perfusion of existing collateral vessels. Symptomatic approach to worsening disease provided an effective management strategy in this case.http://dx.doi.org/10.1155/2019/2432809 |
| spellingShingle | Sarah McGriff Paige Percer Iberia Sosa Hector Mendez-Figueroa Joseph L. Mills Manisha Gandhi When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion Case Reports in Obstetrics and Gynecology |
| title | When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion |
| title_full | When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion |
| title_fullStr | When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion |
| title_full_unstemmed | When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion |
| title_short | When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion |
| title_sort | when the uterus competes for perfusion management of a pregnant patient with bypass graft occlusion |
| url | http://dx.doi.org/10.1155/2019/2432809 |
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