Document Detail

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    
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.
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    
Second Department of Surgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
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MeSH Terms
Aorta, Abdominal / pathology*
Aortic Aneurysm, Abdominal / complications,  pathology,  surgery*
Atherosclerosis / complications,  pathology,  surgery*
Iliac Artery / pathology
Thrombosis / complications,  surgery*
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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