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Sudden Complete Thrombosis of Aortic and Iliac Aneurysms

Sudden Complete Thrombosis of Aortic and Iliac Aneurysms Abstract In a consecutive series of 275 surgically treated abdominal aortic aneurysms, seven patients with acute thrombotic occlusion of an abdominal aortic or iliac aneurysm were encountered. Ten additional cases have been reported in the medical literature. The majority of the aneurysms were 7 cm in diameter or smaller. Some patients had complained of claudication before the acute event. An acute low-flow state superimposed on a stenotic atherosclerotic distal vascular bed is probably the main factor responsible for acute thrombosis within an abdominal aneurysm. The high mortality of 53% is similar to that of ruptured abdominal aortic aneurysms. The recommendation is made that all small abdominal aortic aneurysms be resected if there is substantial associated distal occlusive disease. References 1. Janetta PJ, Roberts B: Sudden complete thrombosis of an aneurysm of the abdominal aorta . N Engl J Med 264:434-436, 1961.Crossref 2. Shumacker HD: Surgical treatment of aortic aneurysms . Postgrad Med 25:535-548, 1959. 3. Seidenburg B, Stern J, Hurivitt ES: Thrombotic occlusion of abdominal aortic aneurysm following distal embolization . Circulation 25:995-996, 1962.Crossref 4. Perdue GD: Thrombosis of aneurysms of the abdominal aorta . J Med Assoc Ga 52:201-202, 1963. 5. Ravdin IS, Hardy JD: Abdominal aortic aneurysms . Am J Med Sci 117:221-235, 1967. 6. Bell JW: Acute thrombosis of the subrenal abdominal aorta . Arch Surg 95:681-684, 1967.Crossref 7. Hardy JD, Timmis HH: Abdominal aortic aneurysm: Special problems . Ann Surg 173:945-965, 1971.Crossref 8. Danto LA, Fry WJ, Kraft RO: Acute aortic thrombosis . Arch Surg 104:569-572, 1972.Crossref 9. Penn AS, Rowland LP, Fraser DW: Drugs, coma, and myoglobinuria . Arch Neurol 26:336-343, 1972.Crossref 10. Zuber WF, Gaspar MR, Rothchild PD: Anterior spinal artery syndrome: A complication of abdominal aortic surgery . Ann Surg 172:909-915, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Sudden Complete Thrombosis of Aortic and Iliac Aneurysms

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01350300034009
Publisher site
See Article on Publisher Site

Abstract

Abstract In a consecutive series of 275 surgically treated abdominal aortic aneurysms, seven patients with acute thrombotic occlusion of an abdominal aortic or iliac aneurysm were encountered. Ten additional cases have been reported in the medical literature. The majority of the aneurysms were 7 cm in diameter or smaller. Some patients had complained of claudication before the acute event. An acute low-flow state superimposed on a stenotic atherosclerotic distal vascular bed is probably the main factor responsible for acute thrombosis within an abdominal aneurysm. The high mortality of 53% is similar to that of ruptured abdominal aortic aneurysms. The recommendation is made that all small abdominal aortic aneurysms be resected if there is substantial associated distal occlusive disease. References 1. Janetta PJ, Roberts B: Sudden complete thrombosis of an aneurysm of the abdominal aorta . N Engl J Med 264:434-436, 1961.Crossref 2. Shumacker HD: Surgical treatment of aortic aneurysms . Postgrad Med 25:535-548, 1959. 3. Seidenburg B, Stern J, Hurivitt ES: Thrombotic occlusion of abdominal aortic aneurysm following distal embolization . Circulation 25:995-996, 1962.Crossref 4. Perdue GD: Thrombosis of aneurysms of the abdominal aorta . J Med Assoc Ga 52:201-202, 1963. 5. Ravdin IS, Hardy JD: Abdominal aortic aneurysms . Am J Med Sci 117:221-235, 1967. 6. Bell JW: Acute thrombosis of the subrenal abdominal aorta . Arch Surg 95:681-684, 1967.Crossref 7. Hardy JD, Timmis HH: Abdominal aortic aneurysm: Special problems . Ann Surg 173:945-965, 1971.Crossref 8. Danto LA, Fry WJ, Kraft RO: Acute aortic thrombosis . Arch Surg 104:569-572, 1972.Crossref 9. Penn AS, Rowland LP, Fraser DW: Drugs, coma, and myoglobinuria . Arch Neurol 26:336-343, 1972.Crossref 10. Zuber WF, Gaspar MR, Rothchild PD: Anterior spinal artery syndrome: A complication of abdominal aortic surgery . Ann Surg 172:909-915, 1970.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1974

References