Acute Abdominal Aortic Occlusion after Open Heart Surgery: A case report.
- Author:
Won Kyung HAN
1
;
Jong Tae LEE
;
Joon Yong CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital. leejt@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Aorta, abdominal;
Thrombosis;
Bypass
- MeSH:
Aorta, Abdominal;
Atrial Fibrillation;
Constriction, Pathologic;
Diagnosis;
Emergencies;
Female;
Foot;
Heart Septal Defects, Atrial;
Heart*;
Humans;
Lower Extremity;
Middle Aged;
Mitral Valve Stenosis;
Mortality;
Paralysis;
Paresthesia;
Prognosis;
Skin;
Thoracic Surgery*;
Thrombosis;
Tomography, Spiral Computed;
Tricuspid Valve Insufficiency;
Umbilicus
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(10):710-713
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute abdominal Aortic occlusion is rare but it is a vascular emergency with high mortality and morbidity. Therefore, delay in diagnosis can have severe impact on the prognosis. A 60-year-old women complained of paresthesia, paralysis, and severe pain in bilateral lower extremities on 13th day after open heart surgery for mitral stenosis, atrial fibrillation, coronary arterial stenosis, tricuspid regurgitation, and atrial septal defect. Her skin was mottled and cool from the umbilicus to the feet, and there were no palpable pulses in the lower exteremities. We diagnosed an acute abdominal aortic occlusion using the Multi-Detector Row Spiral Computed Tomography and successfully treated the problem with emergent thrombo-embolectomy and Aortobifemoral bypass.
