Associated lesions of the aorta and visceral arteries. a special anatomo-clinical form of atheromatous disease
Cormier, J.M.; Fichelle, J.M.; Lagneau, P.; Laurian, C.; Gigou, F.
Journal des Maladies Vasculaires 7(4): 329-332
1982
ISSN/ISBN: 0398-0499 PMID: 7161574 Document Number: 188764
The data of 124 observations of atheroma associated lesions of the aorta and its visceral branches, renal and mesenteric was collated. This retrospective study makes it clear that cases of atheromatous lesions involving the renal and mesenteric arteries can be considered as a special group. Aortic lesions above the level of the renal arteries have a variable outcome--the most commonly seen pattern is that of a thick circumferential plaque which encroaches on the openings of the visceral arteries. These lesions are either ulcerated or smooth and sometimes overlain by voluminous mural thrombus above the renal arteries. This group is associated with widespread atheromatous disease in the coronary and cerebral circulations. The prognosis is poor. A special approach to management is thus required since many arteries are affected and since usually, associated revascularization of the aorta and these four visceral branches is not present. This form of treatment is justified by a post-operative mortality of nil. There is a 50% mortality at three years, almost completely due to coronary disease.