Document Detail

Fatal diffuse atheromatous embolization following endovascular grafting for an abdominal aortic aneurysm: report of a case.
MedLine Citation:
PMID:  11318137     Owner:  NLM     Status:  MEDLINE    
A 78-year-old woman with an abdominal aortic aneurysm, 57 mm in diameter, was admitted to our hospital for endovascular grafting. Preoperative computed tomography and angiography showed friable mural thrombus in the suprarenal and infrarenal aorta, and a diagnosis of shaggy aorta was made. Postoperatively, the patient suffered cerebral infarction, and disseminated intravascular coagulopathy with multiple organ failure developed, resulting in early death on the third day after surgery. An autopsy revealed diffuse atheromatous embolization into the celiac, superior mesenteric, bilateral renal, bilateral hypogastric (trash buttock), and peripheral arteries. This case report serves to demonstrate that an abdominal aortic aneurysm with a shaggy aorta in the proximal neck is a contraindication to endovascular grafting, and that predicting the possibility of diffuse atheromatous embolization by detecting a shaggy aorta is the best way to prevent this catastrophic complication.
N Zempo; H Sakano; S Ikenaga; M Harada; A Yamashita; N Morikage; M Harada; H Takenaka; K Fujioka; K Esato
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  31     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2001  
Date Detail:
Created Date:  2001-04-24     Completed Date:  2001-08-02     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  269-73     Citation Subset:  IM    
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
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MeSH Terms
Angiography, Digital Subtraction
Aorta, Abdominal / pathology
Aortic Aneurysm, Abdominal / pathology,  radiography,  surgery*
Arteriosclerosis / pathology,  radiography*
Blood Vessel Prosthesis Implantation*
Embolism / pathology,  radiography*
Fatal Outcome
Graft Occlusion, Vascular / pathology,  radiography*
Tomography, X-Ray Computed

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