"The best operation is the one that was not done". Case report

Abstract

The combination of arterial and venous thrombosis is relatively rare in clinical practice, but it is a life-threatening condition and raises many questions for the clinician team about the optimal management and the choice of preferred conservative and/or surgical methods of treatment. The publication raises issues of etiology for discussion and suggests for consideration the management of combined thrombosis of the arterial and venous lower limb systems in a middle-aged patient without risk factors predisposing to thrombosis. The combination of optimal anticoagulant therapy, optimal terms and scope of conservative treatment and minimally invasive interventional arterial revascularization made it possible to restore viability and preserve the lower limb and its functional status in full without unfavorable consequences for the patient’s health.