Successful bilateral popliteal-plantar bypasses for polyarteritis nodosa induced ischemia

Courtenay M. Holscher, David P. Stonko, M. Libby Weaver, Thomas Reifsnyder

Research output: Contribution to journalArticlepeer-review


Polyarteritis nodosa (PAN) is a rare vasculitis that can cause peripheral ischemia. We present the case of a 49-year-old man who developed PAN causing toe gangrene and severe rest pain in one foot and claudication of the contralateral foot. He was treated with immunosuppression and underwent popliteal-plantar artery bypass with resolution of rest pain and subsequent amputation of his mummified toe. Despite remission of PAN, his contralateral foot claudication was lifestyle limiting; thus, 5 years later he underwent contralateral popliteal-plantar bypass with resolution of claudication. This case demonstrates the anatomically symmetric presentation of PAN induced ischemia with successful open revascularization after resolution of inflammatory markers with systemic therapy.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Issue number1
StatePublished - Mar 2021


  • Chronic limb-threatening ischemia
  • Intermittent claudication
  • Peripheral bypass
  • Polyarteritis nodosa
  • Vasculitis

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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