Bilateral superficial femoral giant cell arteritis

J Cardiovasc Surg (Torino). 1990 May-Jun;31(3):375-9.

Abstract

Giant cell arteritis is a rare, poorly understood, and often misdiagnosed entity. A case is reported of giant cell arteritis in a 30-year-old white male who developed severe bilateral peripheral claudication affecting both legs. The erythrocyte sedimentation rate (ESR) was markedly elevated. The diagnosis of vasculitis was established by histology postoperatively following exploration of both superficial femoral arteries and the placement of a reversed saphenous vein bypass graft to the right leg. Biopsy of the temporal artery revealed no pathology. The patient has been completely asymptomatic postoperatively and has resumed all previous normal activities. This condition has persisted in spite of a failed graft determined by an arteriogram performed 3 months after surgery. He has been treated with steroids continuously since the procedure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Chronic Disease
  • Femoral Artery* / diagnostic imaging
  • Femoral Artery* / pathology
  • Femoral Artery* / surgery
  • Giant Cell Arteritis / diagnosis*
  • Giant Cell Arteritis / pathology
  • Giant Cell Arteritis / surgery
  • Graft Occlusion, Vascular / diagnostic imaging
  • Humans
  • Intermittent Claudication / diagnosis
  • Intermittent Claudication / pathology
  • Intermittent Claudication / surgery
  • Male
  • Radiography
  • Saphenous Vein / transplantation
  • Temporal Arteries / pathology
  • Ultrasonography