A Young Woman with Inevitable Limb Loss

Authors

  • Damras Tresukosol Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Chanean Ruansetakit Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Suneerat Kongsayreepong Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok

Keywords:

Woman, Inevitable Limb Loss

Abstract

We report a pitfall in the management of a young 43-year-old female who presented with a history of claudication and threaten limb loss. Inappropriate axillobifemoral bypass graft surgery was performed, resulting in perioperative graft failure with progressive inevitable gangrene of the left leg. Rescue surgery was performed to salvage the right limb but she developed perioperative myocardial infarction. Delayed amputation was justified, pre-operative cardiac evaluation and aggressive percutaneous coronary intervention was performed followed by an uneventful definitive below-knee amputation of left leg. The patient was discharged and was referred for a left leg prosthesis.

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Published

24-08-2020

How to Cite

Tresukosol, D. ., Ruansetakit, C. ., & Kongsayreepong, S. . (2020). A Young Woman with Inevitable Limb Loss. Siriraj Medical Journal, 53(6), 369–375. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244659

Issue

Vol. 53 No. 6 (2001): June

Section

Case Report

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