Femorofemoral bypass, even in pregnancy - A case report

A 29-year-old pregnant woman sustained blunt, left lower abdominal trauma, with hip and pelvic fractures, and progressive dissection of an intimal fla p in the left iliac artery, which manifested two days later as profound isc hemia of the left leg. The patient underwent distal thromboembolectomy, fas ciotomies and revascularization of the leg by femorofemoral polytetrafluoro ethylene bypass. The patient recovered completely and gave normal birth thr ee months later to a healthy child. Four years after the operation she gave uneventful birth to another child. Various considerations pertinent to thi s complex traumatic-vascular-gestational state are discussed.