Fibromuscular Dysplasia of Distal Radial and Ulnar Arteries: Uncommon Cause of Digital Ischemia

Khatri, Vijay P.; Gaulin, J. C.; Amin, Atul K.

doi:10.1097/00000637-199412000-00017

Cited by 7 publications

(4 citation statements)

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“…Intimal fibroplasia, which is presented in our case, represents only 2% to 5% of cases of FMD and is angiographically identical to medial hyperplasia. In the literature, only five cases of brachial artery involvement have been described [11], and radial artery involvement seems to have a similar frequency and has been described in association with renal artery FMD [12][13][14][15][16]. These data may be remarkable when choosing which arterial graft to use, especially in young patients with multisite vasculopathy or renal FMD.…”

Section: Discussionmentioning

confidence: 86%

Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia

Vecchi

Maragliano

Sessa

et al. 2021

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Fibromuscular dysplasia is a non-atherosclerotic, non-inflammatory arteriopathy, considered a rare cause of coronary artery disease. Although familial cases have been described, no specific gene association has been detected so far. When the coronary vessels are involved, the main clinical scenarios are stable angina, acute coronary syndromes, left ventricular dysfunction, and sudden death. Specific clinical and angiographic findings may suggest this as the underlying disease, but certain diagnosis histological. The involvement of the lower and upper limbs is unusual; however, it may have decisive clinical implications for the most appropriate revascularization method and the selection of the arterial graft to be used.

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Section: Discussionmentioning

confidence: 86%

Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia

Vecchi

Maragliano

Sessa

et al. 2021

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“…Intimal hyperplasia, medial hyperplasia, and disruption of the internal elastic lamina without inflammation are histologic characteristics of fibromuscular dysplasia. 15,16 Treatment options include conservative and surgical management. Surgical therapies are suggested for advancing cases or after unsuccessful conservative therapy.…”

Section: Discussionmentioning

confidence: 99%

Case of Combined Thenar and Hypothenar Hammer Syndrome: Case Report and Brief Review of the Literature

Koulaxouzidis

Kalash²,

Zajonc³

et al. 2011

J reconstr Microsurg

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Acute or chronic arterial thrombose due to repetitive blunt trauma to the palm of the hand is a rare occupational vascular disease. In most of the cases it affects the ulnar artery and its superficial palmar branch. Repetitive crush is pathogenic and the unique anatomy of the superficial branch of the ulnar artery lying next to the hook of hamate is causative. In rare cases it may affect the superficial palmar branch of the radial artery, called thenar hammer syndrome. The combination of both is an absolute rarity. Both syndromes are occupational diseases in workers using the hand as a hammer. Patients typically present with Raynaud phenomenon or complain about ischemic pain, cold intolerance, or cyanosis. The gold standard in diagnosis is the angiography. Surgical or conservative treatment can be performed successfully. We present a case of combined thenar and hypothenar hammer and a brief review of the literature.

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“…The presence of intimal hyperplasia, medial hyperplasia, and internal elastic lamina disruption without inflammation are all well characterized histologic findings of FMD. [23][24][25][26][27][28] Khatri et al identified FMD of the ulnar artery distal to the wrist in a 20year-old male college student who had recent-onset unilateral finger and hand ischemia. 24 The patient denied any history of repetitive hand trauma.…”

Section: A B Cmentioning

confidence: 99%

“…[23][24][25][26][27][28] Khatri et al identified FMD of the ulnar artery distal to the wrist in a 20year-old male college student who had recent-onset unilateral finger and hand ischemia. 24 The patient denied any history of repetitive hand trauma. The histologic finding of ulnar artery abnormalities consistent with FMD suggests that repetitive striking of the hand may place these patients at increased risk for occlusive or subtotally occlusive segmental thrombus and digital artery embolization.…”

Section: A B Cmentioning

confidence: 99%

Hypothenar hammer syndrome: Proposed etiology

Ferris¹,

Taylor²,

Oyama³

et al. 2000

Journal of Vascular Surgery

172

143

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To our knowledge, this is the largest reported group of HHS patients. The characteristic angiographic appearance, histologic findings, and striking incidence of bilateral abnormalities in patients with unilateral symptoms lead us to conclude that HHS occurs when persons with preexisting palmar ulnar artery fibrodysplasia experience repetitive palmar trauma. This revised theory for the etiology of HHS explains why HHS does not develop in most patients with repetitive palmar trauma.

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Fibromuscular Dysplasia of Distal Radial and Ulnar Arteries: Uncommon Cause of Digital Ischemia

Cited by 7 publications

References 0 publications

Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia

Early Graft Failure after Coronary Artery Bypass Surgery: A Case of Anastomosis Detachment Due to Fibromuscular Dysplasia

Case of Combined Thenar and Hypothenar Hammer Syndrome: Case Report and Brief Review of the Literature

Hypothenar hammer syndrome: Proposed etiology

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