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Peripheral arterial insufficiency associated with protein C deficiency

Departments of ¹ General Surgery and ² Diagnostic Radiology, Asan Kangnung Hospital, 415 Bangdong Ri, Sachun Myun, Kangnung and ³ Department of General Surgery, University of Ulsan Medical College and Asan Medical Center, 388-1 Poongnap Dong, Songpa Ku, Seoul, Republic of Korea

View larger version (118K): [in a new window]   Figure 1. Femoral arteriographic findings in case 1. (a) Pre-operative arteriography showed complete obstruction of the right external iliac artery, without visualization of common, superficial femoral or popliteal arteries, as well as the upper two-thirds of lower leg vessels. (b) Post-operative arteriography showed good patency of the bypass graft. White arrows, 10 mm polytetrafluoroethylene (PTFE); black arrows, 6 mm PTFE; open arrows, in situ saphenous vein; black arrowheads, anastomotic site between 6 mm PTFE and saphenous vein; open arrowhead, anastomotic site between saphenous vein and posterior tibial artery.

View larger version (52K): [in a new window]   Figure 2. In case 2, femoral arteriography showed complete obliteration of the right superficial femoral and distal run-off arteries with well developed collateral circulation from the deep femoral artery (the view at the level of the distal femur is not included).