Occlusive aortic disease as coral reef aorta--experience in 80 cases

Zentralblatt für Chirurgie
A T SagbanK Grabitz

Abstract

Coral reef aorta (CRA) is described as rock-hard calcifications in the visceral part of the aorta. These heavily calcified plaques grow into the lumen and can cause significant stenoses, leading to malperfusion of the lower limbs, visceral ischaemia or hypertension due to renal ischaemia. From 1/1984 to 11/2008, 80 patients (26 m, 54 f, mean age 61.6, range 14 to 86 years) underwent treatment in the Department of Vascular Surgery and Kidney Transplantation, Heinrich-Heine-University Hospital for CRA. The present study is based on a review of patient records and prospective follow-up in our outpatient clinic. The most frequent finding was renovascular hypertension (n=33, 41.3%) causing headache, vertigo and visual symptoms. Intermittent claudication due to peripheral arterial occlusive disease was found in 35 cases (43.8%). 15 patients (18.8%) presented with chronic visceral ischaemia causing diarrhoea, weight loss and abdominal pain. 79 patients (98.7%) underwent surgery; in 73 (93.7%) aortic reconstruction was achieved with thromboendarterectomy, on an isolated suprarenal segment in 7 (9.3%), an infrarenal segment in 21 (26.6%), and the supra- and infrarenal aorta in 45 cases (60%). Desobliteration of renal arteries was perfor...Continue Reading

Citations

Apr 30, 2008·The Annals of Thoracic Surgery·Johannes HolfeldMichael Grimm
Mar 23, 2013·Vascular·Aleksandra PolichaPaul Dimuzio
Feb 17, 2017·Journal of Investigative Medicine High Impact Case Reports·Sajin KarakattuTimir Paul
Apr 30, 2017·Interactive Cardiovascular and Thoracic Surgery·Stoyan KondovMartin Czerny
Apr 26, 2019·European Heart Journal. Case Reports·Louis Verreault-JulienDoan Hoa Do
Jun 15, 2021·European Heart Journal. Case Reports·Milan C Chag, Anuj A Thakre

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