Immediate hemodynamic changes after revascularization of complete infrarenal aortic occlusion: A classic issue revisited

Georgakarakos, Efstratios; Argyriou, Christos; Georgiadis, George S.; Ioannou, Christos V.; Lazarides, Miltos K.

doi:10.1016/j.mehy.2015.12.012

Cited by 3 publications

(5 citation statements)

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“…Severe aortic calcification is the independent determinant of interventional failure [7] . Hemodynamic of the aorta and cardiovascular system shows improvement immediately after revascularization in the case of infrarenal TOAA [3] . Therefore, with proper management, the clinical condition of the patient could be improved, and severe complication prevented.…”

Section: Discussionmentioning

confidence: 95%

“…Total occlusion of the abdominal aorta (TOAA) is a rare disease. Infrarenal TOAA has an estimated incidence of 0.15% in the autopsy study [7] , and the incidence rises to 3% -8.5% among the aortoiliac occlusive disease patients [3] . Rene Lireche reported the first chronic infrarenal aortic occlusion in 1923 [8] .…”

Section: Discussionmentioning

confidence: 99%

“…Chronic occlusion of the aorta secondary to atherosclerosis tends to occur in the late advanced stage [10] . Fifty percent of the chronic TOAA presents as juxtarenal or para-renal occlusion [3] .…”

Section: Discussionmentioning

confidence: 99%

“…Treatment of TOAA includes medical management of the symptoms, especially hypertension and vasculitis [13] . Primary definitive management of aortic occlusion is the surgical intervention which includes aorta-aortic bypass, patch aortoplasty, aortic endarterectomy, aorto-bi femoral bypass, extra-anatomical bypass and visceral artery reconstruction [3 , 8 , 9 , 13] . The success rate of surgery is good, with normalization of the blood pressure is noted in up to 70% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Aortoilliac occlusive disease(AOD) is occlusive atherosclerosis disease involving the distal aorta and bifurcation of iliac arteries and it is a subtype of PAD [2] . Total occlusion of the abdominal aorta(TOAA) is a rare occurrence with an incidence of 3% -8.5% among the aortoiliac occlusive disease patients [3] . There is no reported association between peripheral arterial disease and intracranial aneurysm.…”

Section: Introductionmentioning

confidence: 99%

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Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm

Nadarajan

Wahid

et al. 2021

Radiology Case Reports

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Aortoilliac occlusive disease is occlusive atherosclerosis disease involving the distal aorta and bifurcation of iliac arteries and it is a subtype of peripheral arterial disease. Total occlusion of the abdominal aorta is a rare occurrence with an incidence of 3% -8.5% among the aortoiliac occlusive disease patients. We present a case of a 53 years old patient with a background history of hypertension and ex intravenous drug abuser with negative retroviral screening status, with no previous complaints who was brought to the Emergency Department with sudden onset of altered sensorium and 1 episode of seizure. Computed tomography angiogram of the brain showed a ruptured anterior communicating artery aneurysm. Diagnostic conventional angiogram of the brain was planned; however, difficulty was encountered during bilateral femoral artery cannulation with the abrupt termination of bilateral common iliac arteries. Computed tomography angiogram of the abdomen showed incidental finding of total occlusion of the abdominal aorta. As a conclusion, total occlusion of abdominal aorta secondary to aortoiliac occlusive disease with an associated intracranial aneurysm is never reported in the literature to date. This case highlights the possibility of association in between these two conditions which may benefit from further research.

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Section: Discussionmentioning

confidence: 95%