Strom Theodore, McIntosh Mark
Department of Emergency Medicine, UF Health Jacksonville, Florida, USA.
Case Rep Emerg Med. 2022 Mar 14;2022:9217012. doi: 10.1155/2022/9217012. eCollection 2022.
Acute aortic occlusion (AAO) is a rare and life-threatening condition that is rarely described in limited case series over the past several decades. The etiology and management are diverse across documented accounts, but prompt recognition facilitated by performing a thorough vascular and neurologic exam is critical to prevent delayed diagnosis and adverse outcomes. We report a patient who presented to the emergency department with the complaint of acute-onset lower extremity paralysis due to acute aortic occlusion. Her condition was rapidly diagnosed with a CT angiogram protocolized for aortic dissection and managed with anticoagulation and thrombectomy with eventual near complete recovery of her lower extremity function.
急性主动脉闭塞（AAO）是一种罕见且危及生命的疾病，在过去几十年的有限病例系列中鲜有描述。在已记录的病例中，其病因和治疗方法各不相同，但通过全面的血管和神经检查促进及时识别对于预防延迟诊断和不良后果至关重要。我们报告一名患者，因急性主动脉闭塞以急性下肢瘫痪为主诉就诊于急诊科。通过针对主动脉夹层制定的CT血管造影快速诊断了她的病情，并采用抗凝和血栓切除术进行治疗，最终其下肢功能几乎完全恢复。
