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Acute occlusion of the abdominal aorta

Bortolani, E.; Erba, M.; Vandone, P.L.; Eusebio, D.; Varini, F.; Boneschi, M.

Minerva Chirurgica 48(20): 1183-1187

1993

ISSN/ISBN: 0026-4733
PMID: 8121588
Document Number: 418996
Acute aortic occlusion is a rare event, usually related to atherosclerotic lesions, cardiac embolism or traumatic events. During the last twelve years, we observed 25 acute aortic occlusions: 12 patients (48%) were affected by aortic bifurcation embolism, and 13 patients (52%) by acute aortic thrombosis. There were 18 men (72%) and 7 women (28%) with a median age of 63 years. Severe cardiopathy was observed in 15 patients (60%). Twenty-four patients (96%) underwent surgical treatment: involvement of the renal arteries was found in only 2 cases (8%). We performed 14 aorto-femoral by-passes (58%). Operative mortality was 20%. Death was due to acute kidney failure in 2 cases and to heart infarction in 3 cases.

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