Barba A, Escribano J V, García-Alfageme A
Unidad de Angiología y Cirugía Vascular, Hospital de Galdakano, Vizcaya, España.
Angiologia. 1990 Mar-Apr;42(2):59-62.
In the last years, some case reports about peripheral arterial embolism originated from ulcerative disorders in the wall of aorta and main vascular structures, have been published. Patients affected by this disease are usually aged and arteriosclerotic injuries at divers levels are common. The current case report presents a patient, 37 years old, with a history of 3 surgical procedures because of recurrent arterial embolism in the left femoro-popliteal area with unknown embolic origin. Further, a complete angiographic exploration was realized because a new occlusion in the left ileo-femoral area occurred and suspicious images of an ulcerative atheroma plaque in final aorta were found. This conjecture was confirmed during surgical procedure. It should be noted that some histories of peripheral embolism, with unknown origin, in young patients could be caused by this type of disorders.
在过去几年中，已经发表了一些关于源自主动脉壁和主要血管结构溃疡性病变的外周动脉栓塞的病例报告。受这种疾病影响的患者通常年事已高，不同程度的动脉硬化损伤很常见。本病例报告介绍了一名37岁的患者，因左股腘动脉区域反复出现动脉栓塞且栓子来源不明，曾接受过3次外科手术。此外，由于左髂股动脉区域出现新的闭塞，并在主动脉末端发现溃疡性动脉粥样硬化斑块的可疑图像，因此进行了全面的血管造影检查。这一推测在手术过程中得到了证实。需要注意的是，一些年轻患者不明原因的外周栓塞病史可能是由这类疾病引起的。
