H. Inoguchi et al., Critical limb ischemia in a patient with von Recklinghausen's neurofibromatosis - Report of a case, J CARD SURG, 41(4), 2000, pp. 627-629
A 42-year-old woman complicated with neurofibromatosis underwent both ballo
on percutaneous transluminal angioplasty (PTA) of the iliac artery and femo
ropopliteal (FP) bypass grafting for critical lower limb ischemia. Seven mo
nths after the initial intervention, a recurrence of stenosis in the iliac
artery and at the anastomoses of the FP bypass necessitated both PTA and a
repeat thrombectomy and finally resulted in the amputation of her left thig
h. This is a rarely documented case of chronic arterial occlusion associate
d with neurofibromatosis, in which the prognosis of arterial reconstruction
for such patients is suggested to be poor.