Nobili P, Annolfi B, Giani L, Settembrini P G
Divisione di Chirurgia Generale, Ospedale di Desio, Milano.
G Chir. 1998 Mar;19(3):112-4.
The Authors report on two cases of acute aortic occlusion, related to cardiac embolism and thrombosis of aortic aneurysm. The singularity of the etiology adds interest to a pathology which is already, in itself, serious and complex and which requires the intervention of the surgeon, anesthesiologist-reanimator, cardiologist, and nephrologist. The diagnosis is mainly clinical. The use of Doppler and CT scan provide to achieve the diagnosis. Surgical treatment included transfemoral embolectomy, with a Fogarty catheter, in the patient with acute aortic occlusion related to cardiac embolism, and aortobifemoral bypass, in the other patient, affected by thrombosis of aortic aneurysm.
作者报告了两例急性主动脉闭塞病例,分别与心脏栓塞和主动脉瘤血栓形成有关。病因的特殊性为一种本身就严重且复杂、需要外科医生、麻醉复苏医生、心脏病专家和肾病专家共同干预的病理情况增添了研究价值。诊断主要依靠临床症状。使用多普勒和CT扫描有助于确诊。手术治疗包括,对于因心脏栓塞导致急性主动脉闭塞的患者,采用Fogarty导管经股动脉取栓术;对于另一名患有主动脉瘤血栓形成的患者,则进行主动脉双股动脉旁路移植术。