Revascularization of femoropopliteal artery occlusion in Werner's syndrome- Report of a case and review of surgical literature in cardiovascular lesions

A patient with Werner's syndrome suffering from a chronic ulcer on the righ t ankle joint underwent femoropopliteal bypass and patch angioplasty combin ed with endarterectomy of the distal popliteal artery. Postoperative angiog raphy showed satisfactory graft patency and distal run-off, and the ulcer i mproved. Femoropopliteal occlusive disease in Werner's syndrome tends to ha ve poor run-off and the internal diameter of the popliteal artery with diff use arteriosclerotic lesion is often too small to facilitate distal anastom osis. Therefore, a conventional bypass procedure is not always effective an d an aggressive attitude is essential to obtain sufficient ankle blood pres sure and improve the leg ulcer in Werner' syndrome.