完全性腹主动脉瘤血栓形成及双侧髂总动脉阻塞伴血栓内压力显示持续破裂风险：一例报告并文献复习

Complete abdominal aortic aneurysm thrombosis and obstruction of both common iliac arteries with intrathrombotic pressures demonstrating a continuing risk of rupture: a case report and review of the literature.

作者信息

Filis Konstantinos A, Lagoudianakis Emmanuel E, Markogiannakis Haridimos, Kotzadimitriou Aikaterini, Koronakis Nikolaos, Bramis Konstantinos, Xiromeritis Konstantinos, Theodorou Dimitrios, Manouras Andreas

机构信息

1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.

出版信息

J Med Case Rep. 2009 Nov 24;3:9292. doi: 10.1186/1752-1947-3-9292.

DOI:10.1186/1752-1947-3-9292

PMID:20062781

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2803815/

Abstract

INTRODUCTION

Although mural thrombus in an abdominal aortic aneurysm is frequent and its role has been studied extensively, complete thrombosis of an abdominal aneurysm is extremely rare and its natural history in relation to the risk of rupture is not known. The case of a patient with a completely thrombosed infrarenal aneurysm is presented along with a literature review.

CASE PRESENTATION

We report the case of a 56-year-old Caucasian man with an infrarenal abdominal aortic aneurysm, presenting at our hospital due to critical ischemia of his right lower limb. Computed tomography and angiography demonstrated complete aneurysm thrombosis and obstruction of both common iliac arteries.

CONCLUSION

During the operation, systolic and mean intrathrombotic pressures, measured in different levels, constituted 74.5-90.2% and 77.5-92.5% of systolic and mean intraluminal pressure and 73-88.4% and 76.5-91.3% of systemic pressure, respectively. Our findings show that there may be a continuing risk of rupture in cases of a thrombosed abdominal aortic aneurysm.

摘要