Outcome of Delayed Peripheral Revascularization After Acute Limb Thrombotic Ischemia: A Case Report

Acute limb ischemia is a serious vascular emergency that can result in severe impairment, limb loss, and significant fatality rates. Patient was admitted with impending gangrene and dusky discolouration with loss of pain sensation & movement below the knee. Satisfactory improvement in postoperative follow-up. A 46-year-old female was admitted with complaints of impending gangrene. After that, leg discolouration appeared with a rapid course of the disease in the last 10–14 days. It is a case of acute limb ischemia with a non-palpable common femoral artery. Hence, ipsilateral thromboembolectomy was planned as an emergency on the right side of the leg as a measure of revascularisation. The right common femoral artery was opened, and thrombus was extracted out. After that flow is established, distal vessels become palpable. The patient was put on low molecular weight heparin (subcutaneously), and 60 mg was given to prevent any clot formation & thromboembolism as well. If there is any short history of critical ischemia & gangrene, it is not settled enough. We should go for thromboembolectomy at the earliest for re-establishment of the vasculature of the area together with higher injectable antibiotics & other supportive measures to prevent anticipated re-perfusion injury to multiple organs. Almost lost right leg is saved.