Shaggy aorta syndrome after acute arterial macroembolism: report of a case

Surgery Today
Naoki HayashidaKatsuhiko Tatsuno

Abstract

We report the case of a patient who underwent treatment for a macroembolism in the right lower leg, which led to shaggy aorta syndrome. Anticoagulant therapy for the macroembolism and intra-aortic catheterization exacerbated the patient's renal function and triggered another massive microembolization of the visceral arteries, with a fatal outcome. To minimize the incremental complications inherent to this syndrome, awareness and prompt diagnosis with enhanced computed tomography or intravenous digital subtraction aortography are essential. Axillo-bifemoral bypass with bilateral external iliac artery ligations, performed with optimal timing, could save patients with shaggy aorta syndrome.

Citations

Sep 26, 2006·Surgery Today·Konstantinos A FilisElias A Bastounis
Feb 8, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S D PatelK Ivancev
Apr 12, 2016·Frontiers in Surgery·Shahab ToursavadkohiAlexander Shepard
May 11, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Daijiro HoriHiroyuki Tanaka
Sep 28, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H KwonT-W Kwon
Aug 18, 2020·Annals of Vascular Surgery·Raffaele SerraGiuseppe Filiberto Serraino

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