Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta

We report the diagnostic and successful therapeutic images of an acute occlusion of the abdominal and suprarenal aorta. This lesion is a rare but catastrophic pathology which can cause severe ischemic manifestations, depending on the site of obstruction, with high rate of mortality even after treatm...

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Main Authors: Alessandro Robaldo, Stefano Pagliari, Patrizio Colotto
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/348064
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author Alessandro Robaldo
Stefano Pagliari
Patrizio Colotto
author_facet Alessandro Robaldo
Stefano Pagliari
Patrizio Colotto
author_sort Alessandro Robaldo
collection DOAJ
description We report the diagnostic and successful therapeutic images of an acute occlusion of the abdominal and suprarenal aorta. This lesion is a rare but catastrophic pathology which can cause severe ischemic manifestations, depending on the site of obstruction, with high rate of mortality even after treatment. In the majority of cases it represents a surgical emergency. Although the mechanism of the thrombosis has not been delineated, the proposed etiologies include propagation of thrombus from distal artery occlusion, cardiac thromboembolism, dislodgment of a mural thrombus, or coagulation disorders. Frequent risk factors include advanced atherosclerosis combined with a low flow state because of poor cardiac performance. The management of this condition includes immediate intervention with systemic heparinization, improvement of the cardiac condition, and surgical revascularization based on the clinical and anatomical presentation. In this case the authors highlight the importance of an early detection and early intervention to enhance survival rates and reduce morbidity.
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series Case Reports in Surgery
spelling doaj-art-e1a141ed497e4f72904c7b943af87aa32025-02-03T01:21:57ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/348064348064Acute Ascending Thrombosis of Abdominal and Suprarenal AortaAlessandro Robaldo0Stefano Pagliari1Patrizio Colotto2Division of Vascular and Endovascular Surgery, Imperia Public Hospital, Via Sant’Agata 57, 18100 Imperia, ItalyDivision of Vascular and Endovascular Surgery, Imperia Public Hospital, Via Sant’Agata 57, 18100 Imperia, ItalyDivision of Vascular and Endovascular Surgery, Imperia Public Hospital, Via Sant’Agata 57, 18100 Imperia, ItalyWe report the diagnostic and successful therapeutic images of an acute occlusion of the abdominal and suprarenal aorta. This lesion is a rare but catastrophic pathology which can cause severe ischemic manifestations, depending on the site of obstruction, with high rate of mortality even after treatment. In the majority of cases it represents a surgical emergency. Although the mechanism of the thrombosis has not been delineated, the proposed etiologies include propagation of thrombus from distal artery occlusion, cardiac thromboembolism, dislodgment of a mural thrombus, or coagulation disorders. Frequent risk factors include advanced atherosclerosis combined with a low flow state because of poor cardiac performance. The management of this condition includes immediate intervention with systemic heparinization, improvement of the cardiac condition, and surgical revascularization based on the clinical and anatomical presentation. In this case the authors highlight the importance of an early detection and early intervention to enhance survival rates and reduce morbidity.http://dx.doi.org/10.1155/2014/348064
spellingShingle Alessandro Robaldo
Stefano Pagliari
Patrizio Colotto
Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
Case Reports in Surgery
title Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
title_full Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
title_fullStr Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
title_full_unstemmed Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
title_short Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta
title_sort acute ascending thrombosis of abdominal and suprarenal aorta
url http://dx.doi.org/10.1155/2014/348064
work_keys_str_mv AT alessandrorobaldo acuteascendingthrombosisofabdominalandsuprarenalaorta
AT stefanopagliari acuteascendingthrombosisofabdominalandsuprarenalaorta
AT patriziocolotto acuteascendingthrombosisofabdominalandsuprarenalaorta