Altreuther M, Ødegård A, Aasgaard F, Lange C A, Myhre H O
Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway.
Int Angiol. 2009 Dec;28(6):500-2. Epub 2009 Nov 30.
A 65 year old female patient was admitted with acute onset of severe intermittent claudication in the right lower extremity. Angiography revealed embolic material in the right femoral artery and peripheral arterial thrombosis in the right leg. She was treated with thrombolysis first, thereafter calcified embolic material was removed by open embolectomy. A CT scan showed massive calcification in the thoracic aorta at the level of the occluded left subclavian artery, obviously the origin of embolization. On the second postoperative day she developed critical ischemia in the left lower limb. Angiography showed massive embolization in the left common and external iliac arteries. Following open embolectomy, stentgrafting of the descending thoracic aorta was performed. At one year the patient is in good condition.
一名65岁女性患者因右下肢急性发作严重间歇性跛行入院。血管造影显示右股动脉有栓子物质，右腿有外周动脉血栓形成。首先对她进行了溶栓治疗，之后通过开放取栓术清除了钙化栓子物质。CT扫描显示在闭塞的左锁骨下动脉水平的胸主动脉有大量钙化，显然这是栓子的来源。术后第二天，她左下肢出现严重缺血。血管造影显示左髂总动脉和髂外动脉有大量栓塞。在开放取栓术后，对胸降主动脉进行了支架植入术。一年后患者状况良好。
