Kratko priopćenje

Acute aortic occlusion

Martina Džoić Dominković ; Odjel radiologije, Županijska bolnica Orašje, Orašje Bosna i Hercegovina
Jana Fila ; Odjel za dijagnostičku i intervencijsku radiologiju, Klinika za tumore, Zagreb
Niko Radović ; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Mislav Čavka ; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Gordana Ivanac ; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Boris Brkljačić ; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb

Sažetak

Aim: Aim of this article is to present acute aortic occlusion as an emergent vascular
event, often called ”vascular catastrophe” because of its poor prognosis. It is a diagnostic challenge
because it requires early recognition and urgent intervention. We will present two cases
of acute aortic occlusion. Case report: In both cases, patients referred to the Emergency Department
of the Clinical Hospital Dubrava. Both patients were female, from 55 to 65 years,
who presented pain in both legs as deterioration in their condition. One patient had weakness
in both legs and neurological symptoms, and the other one had only signs of arterial insufficiency
(cold extremities and absence of pulse). In the first case we started with duplex doppler
examination, which showed low flow velocities in both superficial femoral arteries with
peak systolic velocity lower than 5cm/sec and changed spectra indicating proximal pathology.
Multi-slice computerized tomography (MSCT) angiography of abdominal aorta showed thrombosis
in infrarenal part of the abdominal aorta which completely filled the lumen. Thrombectomy
of the infrarenal aorta was performed. In the second case, we immediately performed
MSCT angiography of abdominal aorta by standard protocol in emergency department, which
showed complete occlusion of the aorta above the bifurcation and occlusion of both common
iliac arteries. Fogarty embolectomy was performed. Discussion and conclusion: Acute aortic
occlusion is a rare condition which is easy to overlook, but has a characteristic presentation. A
proper indication for imaging methods is of crucial importance for diagnosis of this condition
which is treated with surgical methods and has a high mortality.

Ključne riječi

aorta; color doppler; MSCT angiography; occlusion; radiology; thrombosis

Hrčak ID:

98615

URI

https://hrcak.srce.hr/98615

Datum izdavanja:

4.3.2013.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.091 *