Late Rupture of a Totally Thrombosed Abdominal Aortic Aneurysm: A Case Report and Literature Review

Anastasiadou, Christiana; Giannakakis, Sotirios; Papapetrou, Anastasios; Galyfos, George; Papacharalampous, Gerasimos; Maltezos, Chrisostomos

doi:10.1016/j.avsg.2017.07.043

Cited by 4 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Thrombosed AAA remains at risk of rupture due to expansion caused by endotension. 11 Although axillobifemoral bypass resolves the ischemia problem, it does not prevent from the aneurysm sac from late rupture. Open repair is an anatomical option with durable results, and eliminates the risk of rupture.…”

Section: Discussionmentioning

confidence: 99%

Acute Thrombosis of an Infrarenal Abdominal Aortic Aneurysm Presenting as Bilateral Critical Lower Limb Ischemia

Chan

Cui

et al. 2020

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background: Intraluminal thrombosis in the aneurysm sac is commonly seen in abdominal aortic aneurysm (AAA). Complete acute thrombosis of an AAA is a rare and catastrophic event. Method: We report a patient with acute AAA thrombosis presenting as bilateral lower limbs critical ischemia. A79-year-old male with a past history of AAA presented with acute onset of bilateral leg pain, coolness, weakness and numbness. His lower extremity pulses including femorals were absent bilaterally on physical examination. Urgent computed tomography angiography showed an infrarenal AAA measuring 45 mm in diameter. The aneurysm sac and bilateral common iliac arteries were completely occluded. Emergency open repair of AAA and bilateral iliac thrombectomy were successfully performed under general anesthesia. Result: Bilateral femoral pulses were present and the neurological deficits were completely resolved after operation. Patient recovered well and was asymptomatic at 3-month follow-up. Conclusion: Acute thrombosis of aortic aneurysm could be an unusual cause of lower limb ischemia, prompt diagnosis followed by surgical revascularization is essential to avoid prolonged ischemia.

show abstract

Section: Discussionmentioning

confidence: 99%