Indian Journal of Vascular and Endovascular Surgery

CASE REPORT
Year
: 2020  |  Volume : 7  |  Issue : 1  |  Page : 102--104

Revascularization in Mönckeberg medial calcific sclerosis


Jithin Jagan Sebastian, Pranay Pawar, MK Ayyappan, Kapil Mathur, Naveen Rajendra, Radhakrishnan Raju 
 Department of Vascular Surgery and Endovascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Jithin Jagan Sebastian
Department of Vascular Surgery and Endovascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu
India

Mönckeberg medial calcific sclerosis (MMS) is a rare disorder of medial calcification for which open repair has always been the standard. We present two unusual cases of MMS affecting different arterial segments, for which bypass was done. The first patient presented with extensive aortoiliac medial calcification. She had a near normal ankle brachial index on one side and critical limb ischemia on the other. A femorofemoral crossover bypass was carried out. The patient improved symptomatically. The second case involved a femoropopliteal segment Mönckeberg sclerosis for which a femoro-distal bypass was carried out. Both patients continue to remain asymptomatic after 2 years of follow-up. Open surgical repair remains the ideal method of repair in this rare condition of medial calcific sclerosis. The disease progression is very slow in these patients, and usually one segment of artery is involved.


How to cite this article:
Sebastian JJ, Pawar P, Ayyappan M K, Mathur K, Rajendra N, Raju R. Revascularization in Mönckeberg medial calcific sclerosis.Indian J Vasc Endovasc Surg 2020;7:102-104


How to cite this URL:
Sebastian JJ, Pawar P, Ayyappan M K, Mathur K, Rajendra N, Raju R. Revascularization in Mönckeberg medial calcific sclerosis. Indian J Vasc Endovasc Surg [serial online] 2020 [cited 2020 Aug 8 ];7:102-104
Available from: http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2020;volume=7;issue=1;spage=102;epage=104;aulast=Sebastian;type=0