# Case Report: The Parkes-Weber syndrome in the patient who underwent coronary surgery

## TL;DR

This case report describes a 73-year-old man with Parkes-Weber Syndrome and coronary disease who underwent heart surgery.

## Contribution

The report highlights the importance of identifying Parkes-Weber Syndrome in patients with heart disease to avoid complications.

## Key findings

- Parkes-Weber Syndrome can coexist with coronary artery disease and impact heart function.
- Surgical management is possible in patients with PWS and borderline heart function.
- Early diagnosis of PWS is crucial to prevent high-output heart failure.

## Abstract

Parkes-Weber Syndrome is a rare congenital vascular abnormality characterized by aneurismatic illness of blood arteries in the afflicted limb, as well as hypertrophy, ulceration, ischemia, and high-output heart failure. Imaging investigations are required to provide a diagnosis, with contrast arteriography being the gold standard. The majority of treatment options are endovascular, with surgical excision for arteriovenous malformations and limb amputation as alternatives. We describe a 73-year-old male patient with mainly asymptomatic PWS, coronary disease, and borderline EF (45%) who had CABG surgery. In individuals with established CAD and other cardiac disorders, it is critical to identify additional diseases or syndromes that might have a compounding effect on the heart, such as PWS and high-output heart failure.