[Revascularization syndrome].

Abstract

The author presents two cases of serious trauma of the extremities complicated with lesions of the arteries. Both cases were treated in the cardiovascular surgery clinic in Ljublgana. In the first case besides on osteosynthesis of a fractured femur, a termoterminal anastomosis was performed on the totally severed Superficial Femoral Artery. In spite of the the Thrombectomin that was later performed on the Posterior Tibial Artery, gangrene of the foot set in, and exitus lethalis, due to a cerebral process. In the second case, besides a fractured femur, the patient had an arterial stupor of the popliteal Artery with periarterial hematomas. A revision of the Popliteal Artery was made. The ruptured Femoral Vein was ligated. Despite surgical intervention, gangrene of the foot set in, and a below the leg amputation was carried out. Due to renal insufficiency, this patient had to undergo peritoneal dialysis. The common denominator of both cases was acute ischemia of the distal portions of the lower extremities, and pathological processes throughout the eitire organism and, above all, of the renal function. In the general theapy of such cases, the author insists on adequate; revascularization, and concrrent regulation of hypovolemia, measures in preventing acidosis, and concern for late diuresis.