Abscess in the Aorta Following Nonresective Treatment of an Abdominal Aortic Aneurysm

Me, Gale; Kiser, LC; Si, Cho

doi:10.1097/00004728-198206000-00037

Cited by 4 publications

(1 citation statement)

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“…Secondary infection of thrombosed AAA may contribute to the risk of rupture. 37,44 An aneurysmal thrombus represents an ideal bacterial culture medium. It is chronically contaminated in high percentage of clinically non-infected AAAs 45 and at constant risk of secondary hematogenous seeding from a distant focus of infection.…”

Section: Discussionmentioning

confidence: 99%

Chronic complete thrombosis of abdominal aortic aneurysm: An unusual presentation of an unusual complication

Pejkić¹,

Opačić²,

Mutavdžic³

et al. 2014

Vascular

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Although mural thrombosis frequently accompanies aneurysmal disease, complete thrombosis is distinctly unusual complication of abdominal aortic aneurysm (AAA). A case study of a patient with chronic, asymptomatic complete thrombosis of a large juxtarenal AAA is presented along with a literature review and discussion of the potential secondary complications, mandating aggressive management of this condition. A 67-year-old man with multiple atherogenic risk factors and unattended complaints consistent with a recent episode of a transient right hemispheric ischemic attack was referred to our clinic with a diagnosis of a thrombosed AAA established by computed tomography. Duplex ultrasonography and aortography confirmed the referral diagnosis and also revealed near occlusion of the left internal carotid artery. The patient underwent a two-stage surgery, with preliminary left-sided carotid endarterectomy followed three days later by an aneurysmectomy and aortobifemoral reconstruction. He had an uncomplicated recovery and was discharged home on postoperative day 7, remaining asymptomatic at the 42-month follow-up. Complete thrombosis is an uncommon presentation of AAA and may be clinically silent. It is frequently associated with other manifestations of generalized atherosclerosis. Radical open repair yields durable result and is the preferred treatment modality.

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Section: Discussionmentioning

confidence: 99%

Chronic complete thrombosis of abdominal aortic aneurysm: An unusual presentation of an unusual complication

Pejkić¹,

Opačić²,

Mutavdžic³

et al. 2014

Vascular

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Computerized tomographic assessment of graft incorporation after aortic reconstruction

Qvarfordt¹,

Reilly²,

Mark³

et al. 1985

The American Journal of Surgery

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Nonresective therapy for aortic aneurysm: Results of a survey

Lynch

Kohler

Johansen

1986

Journal of Vascular Surgery

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We reviewed the experience of 120 vascular surgeons with nonresective therapy for abdominal aortic aneurysm (AAA) in medically unstable patients. Of a total pool of 206 patients, 88 underwent iliac artery ligation, which was combined with angiographic attempts at intrasaccular thrombosis in 80% of cases. The remaining 118 patients had ligation of the aneurysm proximally and distally. In all cases distal perfusion was restored, usually by axillofemoral bypass. Our study demonstrated a significantly higher risk of postoperative AAA rupture (20% vs. 3.3%, p < 0.0001) and death (34% vs. 5.1%, p < 0.000001) among patients treated by ligation distal to the AAA alone, whether intrasaccular thrombosis occurred or not. These results support the contention that if nonresective therapy is chosen for the occasional patient deemed too ill to undergo standard AAA resection, AAA exclusion by proximal and distal ligation should be performed.

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Abscess in the Aorta Following Nonresective Treatment of an Abdominal Aortic Aneurysm

Cited by 4 publications

References 0 publications

Chronic complete thrombosis of abdominal aortic aneurysm: An unusual presentation of an unusual complication

Chronic complete thrombosis of abdominal aortic aneurysm: An unusual presentation of an unusual complication

Computerized tomographic assessment of graft incorporation after aortic reconstruction

Nonresective therapy for aortic aneurysm: Results of a survey

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