Abstract
Abstract For the adult population the frequency of peripheral arterial disease is 3% - 4%. Cardiovascular and cerebrovascular event rates, both fatal and non-fatal, are increased in patients with PAD and DM relative to nondiabetic patients with PAD. It is the clinical case of a 62-year-old patient, diagnosed with type 2 diabetes with chronic obliterative arteriopathy stage IV of the lower limbs. Postoperative evolution was favorable, as there was no need for amputation of the left hallux or debridement of necrotic tissues, due to the decision to perform the timely iliofemoral bypass that restored arterial flow to the femoral and iliac arteries through the prosthetic graft. Continued treatment to normalize lipid metabolism, hypertension, repeated vasodilator therapy, diet and exercise are absolutely necessary and must be included in the long-term therapeutic plan of patients who have undergone restorative surgery, with timely referral to specialist medical services.
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