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Published in: Annals of Vascular Surgery 3/2005

01-05-2005

Acute Supramesenteric Thrombosis of an Abdominal Aortic Aneurysm with Deleterious Embolism: A Case Report

Authors: Thomas Eugster, MD, Tamim Obeid, MD, Lorenz Gürke, MD, Thomas Wolff, MD, Peter Stierli, MD

Published in: Annals of Vascular Surgery | Issue 3/2005

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Abstract

A 55-year-old man was admitted with severe pain, paralysis of both legs and absent femoral pulses. Computed tomographic scan demonstrated a 6 cm juxtarenal abdominal aortic aneurysm (AAA) with thrombosis starting at the level of the celiac trunk. At immediate operation, thrombectomy of visceral arteries was performed and distal neovascularization was achieved with a bifurcated prosthesis. It was revealed that all major arteries were occluded with debris. Embolectomy did restore flow in major vessels, but organ perfusion was not achieved due to occlusion of smaller vessels. The patient died with multiorgan failure. This is the first description in the literature of an acutely thrombosed AAA at the supramesenteric level.
Literature
1.
go back to reference Shnacker, A, Witz, M, Lehmann, JM 2001Acute thrombosis of an aortic aneurysmJ Cardiovasc Surg42111113 Shnacker, A, Witz, M, Lehmann, JM 2001Acute thrombosis of an aortic aneurysmJ Cardiovasc Surg42111113
2.
go back to reference Suliman, AS, Raffetto, JD, Seidman, CS, Menzoian, JA 2003Acute thrombosis of abdominal aortic aneurysms. Report of two cases and review of the literatureVasc Endovasc Surg377175 Suliman, AS, Raffetto, JD, Seidman, CS, Menzoian, JA 2003Acute thrombosis of abdominal aortic aneurysms. Report of two cases and review of the literatureVasc Endovasc Surg377175
3.
go back to reference Shumacker, HB 1959Surgical treatment of aortic aneurysmsPostgrad Med25535548PubMed Shumacker, HB 1959Surgical treatment of aortic aneurysmsPostgrad Med25535548PubMed
4.
go back to reference Johnson, JM, Gaspar, MR, Movius, HJ 1974Sudden complete thrombosis of aortic and iliac aneurysmsArch Surg108792794PubMed Johnson, JM, Gaspar, MR, Movius, HJ 1974Sudden complete thrombosis of aortic and iliac aneurysmsArch Surg108792794PubMed
5.
go back to reference Corson, JD, Brewster, DC, Darling, RC 1982The surgical management of infrarenal aortic occlusionSurg Gynecol Obstet155369372PubMed Corson, JD, Brewster, DC, Darling, RC 1982The surgical management of infrarenal aortic occlusionSurg Gynecol Obstet155369372PubMed
6.
go back to reference Seidenberg, B, Stern, J, Hurwitt, E 1962Thrombotic occlusion of abdominal aortic aneurysm following distal embolizationCirculation15995996 Seidenberg, B, Stern, J, Hurwitt, E 1962Thrombotic occlusion of abdominal aortic aneurysm following distal embolizationCirculation15995996
7.
go back to reference Criado, FJ 1982Acute thrombosis of abdominal aortic aneurysmTexas Heart Inst J9367371 Criado, FJ 1982Acute thrombosis of abdominal aortic aneurysmTexas Heart Inst J9367371
8.
go back to reference Hirose, H, Takagi, M, Hashiyada, H, et al. 2000Acute occlusion on an abdominal aortic aneurysm. Case report and review of the literatureAngiology51515523PubMedCrossRef Hirose, H, Takagi, M, Hashiyada, H,  et al. 2000Acute occlusion on an abdominal aortic aneurysm. Case report and review of the literatureAngiology51515523PubMedCrossRef
9.
go back to reference Reilly, LM, Sauer, L, Weinstein, ES, Ehrenfeld, WK, Goldstone, J, Stoney, RJ 1990Infrarenal aortic occlusion: does it threaten renal perfusion or function?J Vasc Surg11216225CrossRefPubMed Reilly, LM, Sauer, L, Weinstein, ES, Ehrenfeld, WK, Goldstone, J, Stoney, RJ 1990Infrarenal aortic occlusion: does it threaten renal perfusion or function?J Vasc Surg11216225CrossRefPubMed
Metadata
Title
Acute Supramesenteric Thrombosis of an Abdominal Aortic Aneurysm with Deleterious Embolism: A Case Report
Authors
Thomas Eugster, MD
Tamim Obeid, MD
Lorenz Gürke, MD
Thomas Wolff, MD
Peter Stierli, MD
Publication date
01-05-2005
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 3/2005
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-005-0016-2

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