Pietri P, Adovasio R, Pancrazio F, Sichel L, Fazio F
V Surgical Department, University of Milan, Italy.
Int Angiol. 1987 Oct-Dec;6(4):397-400.
Acute thrombosis of the infrarenal aorta is a rare event, usually complicating aortic atherosclerotic lesions or aortic aneurysms. During the last twelve years, we treated 10 acute aortic thromboses out of 353 acute ischemias of the lower limbs (2.8%). The high mortality of our series (60%) is related to advanced age (71 years on average), severe underlying cardiopathy, and the frequent involvement of the renal and mesenteric vessels. In our experience Fogarty catheter thrombectomy is usually ineffective, and the surgical approach in high risk patients should be confined to axillobifemoral bypass graft.
肾下腹主动脉急性血栓形成是一种罕见事件，通常使主动脉粥样硬化病变或主动脉瘤复杂化。在过去十二年中，我们在353例下肢急性缺血患者中治疗了10例急性主动脉血栓形成（2.8%）。我们系列的高死亡率（60%）与高龄（平均71岁）、严重的基础心脏病以及肾和肠系膜血管的频繁受累有关。根据我们的经验，Fogarty导管血栓切除术通常无效，高危患者的手术方法应限于腋-双股旁路移植术。
