Acute High Aortic Occlusion with Aplastic Anemia.
10.4326/jjcvs.25.207
- VernacularTitle:再生不良性貧血に合併した急性高位腹部大動脈閉塞症の１例
- Author:
Seishi Nosaka
;
Kengo Nakayama
;
Masanobu Yamauchi
;
Kousei Gu
;
Yuhei Saito
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(3):207-209
- CountryJapan
- Language:Japanese
-
Abstract:
A 67-year-old man had been diagnosed as having aplastic anemia three years ago. He had taken anabolic steroids continuously. He suddenly complained of the ischemic signs of the lower extremities. Aortography showed the total occlusion of the abdominal aorta with encroachment upon the left renal artery. The right renal artery and superior mesenteric artery were intact. Laboratory data showed acute renal failure. We selected an axillo-femoral bypass because of aplastic anemia and acute renal failure. Throughout the intraoperative and post-operative periods the patient showed a bleeding tendency, then disseminated intravascular coagulation (DIC) has occurred. He required much blood transfusion, anti-coagulant drugs and hemodialysis post-operatively and finally recovered from acute renal failure and DIC.
