| Thrombosed abdominal aortic aneurysm associated with an extensively "shaggy" aorta repaired anatomically via a thoracoabdominal approach with supraceliac aortic clamping: report of a case. | |
| | |
MedLine Citation:
|
PMID: 20740351 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 76-year-old man with a history of multiple laparotomies and severe coronary artery disease was referred to our hospital after the sudden development of pain and numbness in the lower extremities. Computed tomography showed a thrombosed abdominal aortic aneurysm and diffuse aortic atherosclerosis; compatible with a "shaggy aorta." A good response to thrombolytic therapy permitted elective scheduling of abdominal aortic surgery after coronary artery bypass grafting. We operated via an extended left retroperitoneal approach through a thoracoabdominal incision. Epiaortic ultrasonography revealed that only the supraceliac aorta was free of mobile thrombi and had minimal plaque; we therefore placed a proximal aortic cross-clamp there. Anatomic aortic reconstruction was then performed successfully using an aorto-biiliac graft to restore adequate distal blood flow. There were no vital-organ ischemic complications, and the postoperative course was satisfactory. |
| | |
Authors:
|
Satofumi Tanaka; Kuniyoshi Tanaka; Koichi Morioka; Narihisa Yamada; Atsushi Takamori; Mitsuteru Handa; Akio Ihaya; Masato Sasaki; Takeshi Ikeda |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-08-26 |
Journal Detail:
|
Title: Surgery today Volume: 40 ISSN: 1436-2813 ISO Abbreviation: Surg. Today Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-26 Completed Date: 2011-01-19 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9204360 Medline TA: Surg Today Country: Japan |
Other Details:
|
Languages: eng Pagination: 866-70 Citation Subset: IM |
Affiliation:
|
Second Department of Surgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aorta, Abdominal / pathology* Aortic Aneurysm, Abdominal / complications, pathology, surgery* Atherosclerosis / complications, pathology, surgery* Humans Iliac Artery / pathology Male Thrombosis / complications, surgery* Vascular Surgical Procedures / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Protective effect of carnosol on lung injury induced by intestinal ischemia/reperfusion.
Next Document: Cardiac lipoma originating from the left ventricular apex diagnosed using the magnetic resonance ima...