Abstract

The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis. Blue toe syndrome is characterized by tissue ischemia secondary to embolization of cholesterol crystals or atherothrombotic debris. Microembolization most often occurs in elderly men who undergo an invasive vascular procedure or have an aneurysm.

Highlights

  • The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis

  • The urine output immediately after the operation was greater than 200 ml/h and the renal function gradually improved over the course of a few weeks

  • In blue toe syndrome skin lesions are usually restricted to the occluded artery

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Summary

Introduction

The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis. Os autores relatam o caso de síndrome do dedo azul em um homem que apresentou um quadro de isquemia bilateral dos pés e foi submetido ao reparo bem sucedido de um aneurisma da aorta abdominal e de estenose da artéria renal associada. Blue toe syndrome is one of the frequent manifestations of tissue ischemia. The most common cause of blue toe syndrome is the atheroembolic disease or aneurysm.

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