Page 13 - Virtual Vascular Vol 4

A patient with bilateral peripheral

vascular disease

A patient with Bifemoral bypass • Long incision along medial thigh from groin to knee

• For long saphenous vein harvest AND femoro-popliteal bypass
with reverse vein graft
• Bilateral VERTICAL groin scars over femoral pulses (to
access common femoral artery, superficial femoral artery, • Trophic changes of peripheral arterial disease

and profunda femoris artery) • Thinning of skin

• Bypass graft felt (and seen) in subcutaneous tissue over • Muscle wasting

suprapubic area • Loss of hair and subcutaneous fat
12 • Tissue loss ( amputation of left big toe) 13