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Multiple hereditary exostoses as a rare nonatherosclerotic etiology of chronic lower extremity ischemia
Imtiaz Khan1, Charles A West, Guillermo P Sangster
1Department of Surgery, Division of Vascular Surgery, Louisiana State University Health Science Center, Shreveport, La, USA.
Abstract:
Nonatherosclerotic etiologies of arterial insufficiency are uncommon but important causes of chronic lower extremity ischemia. We report a patient with multiple hereditary exostoses (MHE) presenting with lifestyle-limiting lower extremity claudication and popliteal artery occlusion secondary to a large osteochondroma. The presence of MHE with associated osteochondroma resulting in arterial occlusion is a rare condition. Management strategies for treating large osteochondromas adjacent to or with vessel involvement in asymptomatic patients remain undefined.
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