Page 44 - Virtual Vascular Volume 7
P. 44

An elderly patient presented with a five hours history of acute left leg  ischaemia with                               The patient underwent emergency left femoral embolectomy.  As she was elderly, the
     pain, pallor, paresthesia, and coldness. She denied any history of angina or previous                                  arteries were a little atherosclerotic and calcified. The common femoral artery had a
     claudication. Physical example showed irregularly irregular pulse rate and she was                                     weak pulse, the pulseless superficial femoral artery and profunda femoris artery were
     hypertensive. The left femoral pulse was very weak. ECG showed atrial fibrillation which                               dissected out.

     was not previously diagnosed.
                                                                             Femoral Embolsim


























                                                                                                                                                                                                                  CFA





















                                                                                                                                                 SFA                                                              PFA




















                                                                   The left foot was colder

                                                                   and paler compared to

                                                                   the right. The left calf
                                                                   was soft.



        44                                                                                                                                                                                                                            45
   39   40   41   42   43   44   45   46   47   48   49