Page 54 - Virtual Vascular Vol 11
P. 54

Above Knee Amputation






































































          This is a patient with critical limb ischaemia presented with left 4 toe tip dry
                                                                                           th
          gangrene

          He suffered from left SFA long occlusion.  Angioplasty was attempted but failed
          Further major bypass surgery was not suitable due to high anaesthetic risk with
          recent myocardial infarction.



          The foot condition rapidly deteriorated in 3 months to involve the lateral forefoot



          A prompt revascularization is warranted if possible in critical limb ischaemia to
          aim limb salvage
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