Mertens R, Krämer A, Valdés F
Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia Universidad Católica, Santiago de Chile.
Rev Med Chil. 1999 Apr;127(4):459-62.
Death due to rupture of and abdominal aortic or iliac aneurysm, is their most frequent complication. We report two male patients, both over seventy years old, who presented with unexplained unilateral ilio-femoral deep vein thrombosis. During diagnostic work up an aortic and iliac aneurysm, compressing the deep venous system with secondary thrombosis, was found. In both patients a prophylactic inferior vena caval filter was inserted and standard elective surgery was then performed. No perioperative complications occurred and both patients remain asymptomatic during follow up. Deep vein thrombosis due to compression by an abdominal aortic and iliac aneurysm is infrequent. It must be ruled out together with intrabdominal cancer, in the elderly patient presenting with unexplained deep vein thrombosis.
腹主动脉或髂动脉瘤破裂导致的死亡是其最常见的并发症。我们报告两名男性患者，均为70多岁，他们出现了原因不明的单侧髂股深静脉血栓形成。在诊断检查过程中，发现一个主动脉和髂动脉瘤压迫深静脉系统并继发血栓形成。两名患者均植入了预防性下腔静脉滤器，然后进行了标准的择期手术。围手术期未发生并发症，两名患者在随访期间均无症状。腹主动脉和髂动脉瘤压迫导致的深静脉血栓形成并不常见。在出现原因不明的深静脉血栓形成的老年患者中，必须排除这种情况以及腹内癌症。
