Clinical case in cardiac surgery
In the multidisciplinary regional hospital of the city of Kyzylorda, a patient from 1956 with a diagnosis of atherosclerosis was admitted as planned. Lerish syndrome. Obliterating atherosclerosis of the vessels of the lower extremities. Occlusion of the middle third of the common iliac artery on the right. KHAN of the IIB degree.
Complaints of coldness and numbness of both lower extremities. Pain when walking up to 50 meters.
The operation was performed: laparotomy. Aorto-femoral bifemoral bypass surgery.
The operation was successful, with the participation of the head of the regional health department Sabit Bekseitovich Pazilov, angiosurgeons of the Department of Cardiovascular Surgery Izbaskhanov Rakhmanberda Tulegenovich and Omirkhan Assel Omirkhanovna.
In the postoperative period, the general condition of the patient is stable. My feet are warm to the touch. The distance without pain walking increased from 50 meters to 500 meters.
Obliterating atherosclerosis of the lower extremities may not manifest itself for several years, but after the first clinical symptoms appear, it can often progress to Lerish syndrome.
Lerisch syndrome – a violation of blood flow in the lower extremities, which appears with a pronounced narrowing or complete blockage of the abdominal aorta at the site of its bifurcation into the iliac arteries. Until recently, the pathology was most often diagnosed in men aged 40-60 years. But doctors warn that she has recently become much younger and her problem is acute even in men aged 30-35 years. In addition, a large role is played by the hereditary factor and smoking