Critical hand ischemia caused by forearm fibromuscular dysplasia

This article describes our experience with the management of a 79-year-old woman who had abrupt onset of unilateral critical hand ischemia associated with advanced localized fibromuscular dysplasia of the forearm arteries and thrombotic occlusion of the palmar arch. The patient was successfully managed with local infusion of streptokinase, which was followed by excision and grafting of the radial and ulnar arteries. To our knowledge this represents the first case of hand ischemia associated with forearm fibromuscular dysplasia.