• Miguel Maia, Pedro Brandão, Pedro Monteiro, Paulo Barreto, Daniel Brandão, Joana Ferreira, Sandrina Braga, and Guedes Vaz.
• Departamento de Angiologia e Cirurgia Vascular, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal. miguelopmm@hotmail.com
• Interact Cardiovasc Thorac Surg. 2008 Dec 1;7(6):1137-40.

ObjectivesWe report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb.CaseA patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed.ResultsAfter a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions.ConclusionClassic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.

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