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Titolo:
Fatal diffuse atheromatous embolization following endovascular grafting for an abdominal aortic aneurysm: Report of a case
Autore:
Zempo, N; Sakano, H; Ikenaga, S; Harada, M; Yamashita, A; Morikage, N; Harada, M; Takenaka, H; Fujioka, K; Esato, K;
Indirizzi:
Yamaguchi Univ, Sch Med, Dept Surg 1, Yamaguchi 7558505, Japan Yamaguchi Univ Yamaguchi Japan 7558505 Surg 1, Yamaguchi 7558505, Japan
Titolo Testata:
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
fascicolo: 3, volume: 31, anno: 2001,
pagine: 269 - 273
SICI:
0941-1291(2001)31:3<269:FDAEFE>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
INITIAL EXPERIENCE; 3-YEAR EXPERIENCE; REPAIR; LESIONS;
Keywords:
endovascular grafting; shaggy aorta; diffuse atheromatous embolization; trash buttock; disseminated intravascular coagulopathy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Zempo, N Yamaguchi Univ, Sch Med, Dept Surg 1, 1-1-1 Minami Kogushi, Yamaguchi 7558505, Japan Yamaguchi Univ 1-1-1 Minami Kogushi Yamaguchi Japan 7558505 apan
Citazione:
N. Zempo et al., "Fatal diffuse atheromatous embolization following endovascular grafting for an abdominal aortic aneurysm: Report of a case", SURG TODAY, 31(3), 2001, pp. 269-273

Abstract

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 shaggyaorta 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 15:04:58