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Do-it-yourself femoropopliteal bypass

A D Fox1, A Rai, J S Budd

  • 1University Department of Surgery, Royal United Hospital, Bath

Annals of the Royal College of Surgeons of England
|September 1, 1995
PubMed
Summary

This case report details a rare spontaneous femorodistal bypass graft. It formed through neovascularization in a patient with an occluded superficial femoral artery, creating new channels to the long saphenous vein.

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Area of Science:

  • Vascular Surgery
  • Medical Imaging
  • Regenerative Medicine

Background:

  • A 74-year-old male with a history of varicose vein surgery presented with claudication.
  • Previous surgery involved saphenofemoral disconnection on the right leg.
  • The patient had a 22-year history post-operative repair for bilateral varicose veins.

Observation:

  • Duplex scanning and angiography revealed an occluded superficial femoral artery (SFA) in the right leg.
  • A network of collateral channels was observed between the proximal SFA stump and the long saphenous vein (LSV).
  • The SFA showed distal reconstitution via two arteriovenous fistulas.

Findings:

  • The study documents a unique instance of spontaneous femorodistal bypass.
  • This bypass appears to be a result of extensive neovascularization.

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  • The formation of arteriovenous fistulas facilitated blood flow reconstitution.

    • Implications:

    • This finding may offer new insights into the body's capacity for self-repair in vascular disease.
    • It highlights the potential for neovascularization to create functional bypasses in cases of arterial occlusion.
    • Further research could explore therapeutic applications of induced neovascularization for peripheral artery disease.