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CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 3  |  Page : 195-197

Peripheral arterial disease for aortobifemoral bypass grafting with severe postoperative complications: a case report


Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, India

Correspondence Address:
Ameta Nihar
Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune 411 040
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_6_17

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Peripheral arterial disease (PAD) is caused by atherosclerosis in the major extremity vessels. Incidence of PAD ranges from 3 to up to 20%. The most common symptom of the disease is intermittent claudication, mainly affecting the calf muscles. These patients usually present for surgeries extending from bypassing the blocked vascular segment to amputations. Successful outcome of these surgeries require a well-planned preoperative testing, controlled intraoperative environment and adequate postoperative management. We present an interesting case of a PAD patient who underwent a re-do surgery complicated by graft thrombosis, electrolyte disturbances and renal dysfunction, which, managed appropriately, resulted in best surgical outcomes.


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