Clinical Scenarios in Vascular Surgery SECOND EDITION Clinical Scenarios in Vascular Surgery SECOND EDITION Editors Gilbert R. Upchurch Jr, MD Chief of Vascular and Endovascular Surgery William H. Muller Jr Professor of Surgery Professor of Molecular Physiology and Biological Physics University of Virginia Charlottesville, Virginia Peter K. Henke, MD Leland Ira Doan Professor of Surgery Chief, Vascular Surgery AAVA University of Michigan Ann Arbor, Michigan Acquisitions Editor: Keith Donnellan Product Development Editor: Brendan Huffman Production Project Manager: Bridgett Dougherty Design Coordinator: Holly McLaughlin Senior Manufacturing Coordinator: Beth Welsh Strategic Marketing Manager: Daniel Dressler Production Service: SPi Global Second Edition Copyright © 2015 Wolters Kluwer First Edition © 2005 by Lippincott Williams & Wilkins All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer Health at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Clinical scenarios in vascular surgery / [edited by] Gilbert R. Upchurch, Peter K. Henke. — Second edition. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4511-9213-1 (alk. paper) I. Upchurch, Gilbert R., editor.II. Henke, Peter K., editor. [DNLM:1. Vascular Surgical Procedures—methods—Case Reports.2. Diagnostic Techniques, Surgical— Case Reports.3. Vascular Diseases—diagnosis—Case Reports. WG 170] RD598.5 617.4'13—dc23 2014046110 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contradictions, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. or from any reference to or use by any person of this work. LWW.com As the world continues to be more complex and chaotic, I can always count on my wife Nancy for her calm and support; I am thankful for her as she has never even once made me feel guilty for all the extra time it requires to write and edit books. — Gilbert R Upchurch, Jr., MD To my parents, for all their loving support. — Peter K. Henke, MD Contributing Authors Matthew R. Abate, MD Resident Section of Vascular Surgery University of Arkansas Little Rock, Arkansas Joshua D. Adams, MD Vascular Surgery Fellow Department of Surgery University of Virginia Health System Charlottesville, Virginia Gorav Ailawadi, MD Associate Professor Cardiac Surgery and Biomedical Engineering Director Minimally Invasive Cardiac Surgery Surgical Director Advanced Cardiac Valve Center Chair VCSQI Research & Writing Committee University of Virginia Health System Charlottesville, Virginia Ahsan T. Ali, MD Associate Professor Department of Surgery University of Arkansas for Medical Sciences Little Rock, Arizona Elizabeth Andraska, BA Section of Vascular Surgery Department of Surgery University of Michigan Ann Arbor, Michigan Julie Armatas, NP Nurse Practioner Division of Vascular and Endovascular Surgery University of Virginia Charlottesville, Virginia Shipra Arya, MD, SM Assistant Professor Division of Vascular Surgery and Endovascular Therapy Department of Surgery Emory University School of Medicine Atlanta, Georgia Olufunmi Onaopemipo Awonuga, MD Resident Division of General Surgery Department of Surgery University of Alabama at Birmingham School of Medicine Birmingham, Alabama Amir Azarbal, MD Assistant Professor of Vascular and Endovascular Surgery Oregon Health and Science University Portland, Oregon Ali Azizzadeh, MD Associate Professor Director Endovascular Surgery Memorial Hermann Heart and Vascular Institute—Texas Medical Center Department of Cardiothoracic and Vascular Surgery University of Texas Medical School at Houston Houston, Texas Atif Baqai, MD Vascular Surgery Fellow Vascular and Endovascular Surgery University of Miami Hospital Miami, Florida B. Timothy Baxter, MD Professor Department of Surgery Division of General Surgery University of Nebraska Medical Center Omaha, Nebraska Rodney P. Bensley Jr, MD General Surgery Resident Beth Israel Deaconess Medical Center Boston, Massachusetts Scott A. Berceli, MD, PhD Professor of Surgery and Biomedical Engineering Chief Vascular Surgery Malcom Randall VA Medical Center UF Health School of Medicine Gainesville, Florida Guido H. W. van Bogerijen, MD Department of Cardiac Surgery Samuel and Jean Frankel Cardiovascular Center University of Michigan Health System Ann Arbor, Michigan