Unilateral lower limb XXXX resulting from a heart surgery performed 50 years prior.

@entity1 @entity4 @entity4269
INTRODUCTION: @entity4269 is classified into two main types: secondary @entity4269 accompanied by lymph node excision surgery or radiotherapy; and idiopathic @entity4269 . Here we experienced a very rare case of @entity4 resulting from cardiac surgery that the @entity1 underwent 50 years previously. PRESENTATION OF CASE: A 62-year-old @entity1 experienced progressive unilateral lower leg @entity4269 for recent years. After undergoing cardiac surgery at another hospital at the age of 12 years, she gradually developed left lower leg @entity4 . The cause of the @entity4 was unclear and it remained untreated. Her @entity4 gradually worsened in recent years, so she consulted the plastic surgery division of our hospital. DISCUSSSION: Perhaps the lymphatic structures of affected individuals differ prior to disease onset. If the mechanism of @entity4 outbreak is elucidated, @entity1 needing conservative and surgical therapy might be more easily identified. Knowing the outbreak mechanism of @entity4 would definitely ease the investigation of an unconventional case like this one. Conservative treatments for @entity4269 , such as self-massage and compression therapy using garments, were immediately started. With these treatments, the leg volume and @entity4 reduced. CONCLUSION: The research on the cause of this case may be important step for elucidating the source of secondary @entity4 .
