Bucci Federico, Fiengo Leslie, Hamati Samer, Plagnol Philippe
Vascular Surgery Department, Centre Hospitalier Sud Gironde, Langon, France.
Interact Cardiovasc Thorac Surg. 2012 Jan;14(1):99-101. doi: 10.1093/icvts/ivr022. Epub 2011 Nov 18.
The occlusion of the infrarenal aorta is a rare event, which is potentially life threatening. We present the case of a heavy smoking, 35-year-old woman who was referred to the emergency department of our hospital because of sudden abdominal pain and urinary incontinence. She also complained of a two-year history of bilateral intermittent claudication. A computerized tomography revealed the thrombosis of the abdominal aorta and of both iliac arteries. Treatment consists of an aortoiliac thromboendarterectomy (AITE). For young patients with atheromatous occlusive disease of the infrarenal aorta, AITE is an attractive alternative to bypass grafting.
肾下腹主动脉闭塞是一种罕见的情况，有潜在的生命危险。我们报告一例35岁女性，重度吸烟者，因突发腹痛和尿失禁被转诊至我院急诊科。她还诉说有两年双侧间歇性跛行病史。计算机断层扫描显示腹主动脉及双侧髂动脉血栓形成。治疗方法为主动脉髂动脉血栓内膜切除术（AITE）。对于患有肾下腹主动脉粥样硬化闭塞性疾病的年轻患者，AITE是旁路移植术的一种有吸引力的替代方法。
