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  • Title: Upper limb ischemia in a patient with Wegener's granulomatosis.
    Author: Maia M, Brandão P, Monteiro P, Barreto P, Brandão D, Ferreira J, Braga S, Vaz G.
    Journal: Interact Cardiovasc Thorac Surg; 2008 Dec; 7(6):1137-40. PubMed ID: 18796474.
    Abstract:
    OBJECTIVES: We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb. CASE: A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed. RESULTS: After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions. CONCLUSION: Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.
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