DeChiara James, Skinner Lisa
Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington.
Providence St. Peter Hospital, Olympia, Washington.
Clin Pract Cases Emerg Med. 2024 Nov;8(4):375-376. doi: 10.5811/cpcem.20330.
An 89-year-old male who had been holding dabigatran in the setting of transcarotid artery revascularization presented to the emergency department with sudden onset leg pain and weakness. Computed tomography angiography revealed acute aortic occlusion and thrombosis of the bilateral common iliac arteries. He underwent aortoiliac and femoral embolectomies and stenting of the bilateral common iliac arteries and returned to his baseline functional status.
Acute aortic occlusion is a rare but often devastating vascular emergency characterized by obstruction of the aorta by an embolus or thrombosis. Diagnosis can be challenging as it may be mistaken for spinal pathology, which can lead to delays in diagnosis. Despite advances in diagnostic modalities and interventions, acute aortic occlusion often results in high rates of major morbidity and mortality.
一名89岁男性，在进行颈动脉血管重建术时使用达比加群，因突发腿部疼痛和无力就诊于急诊科。计算机断层血管造影显示急性主动脉闭塞及双侧髂总动脉血栓形成。他接受了主动脉髂动脉和股动脉取栓术以及双侧髂总动脉支架置入术，并恢复到基线功能状态。
急性主动脉闭塞是一种罕见但通常具有毁灭性的血管急症，其特征是栓子或血栓阻塞主动脉。诊断可能具有挑战性，因为它可能被误诊为脊柱病变，从而导致诊断延迟。尽管诊断方法和干预措施有所进展，但急性主动脉闭塞往往导致较高的严重发病率和死亡率。
