Document Detail

An embolizing lesion in a minimally diseased aorta.
MedLine Citation:
PMID:  1519176     Owner:  NLM     Status:  MEDLINE    
A case report of a patient with an unusual source of emboli resulting in acute limb-threatening ischemia is presented. Diagnostic angiography of the lower extremity was performed, followed by thromboembolectomy, which successfully restored normal arterial flow to the threatened leg. After surgery the patient underwent transesophageal echocardiography, which failed to identify an embolic source. Because of the high degree of clinical suspicion that the primary disease process was embolic rather than thrombotic, a thorough evaluation of the arterial tree was performed, including computed tomography and aortography. A large, mobile intravascular lesion arising from a normal descending thoracic aorta was identified and successfully treated with resection and graft placement.
B G Rubin; B T Allen; C B Anderson; B Barzilai; G A Sicard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  112     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-10-06     Completed Date:  1992-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  607-10     Citation Subset:  AIM; IM    
Department of Surgery, Washington University School of Medicine, St. Louis, MO.
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MeSH Terms
Angiography, Digital Subtraction
Aorta, Thoracic / radiography,  surgery,  ultrasonography
Aortic Diseases / radiography*,  surgery,  ultrasonography
Blood Vessel Prosthesis
Embolism / radiography*,  surgery,  ultrasonography
Leg / blood supply
Middle Aged
Tomography, X-Ray Computed

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