[Symptoms and therapy of aortic bifurcation embolism].
31 patients underwent embolectomy for acute embolism of the aortic bifurcation. In most instances paralysis of the extremity (84%) was present, sudden onset of pain (16%) was less common. Neurological disease had been considered in 55%. The heart was source of emboli in 92%. Postoperative complications were mainly due to renal failure (23%) and irreversible limb ischemia (10%) requiring amputation. Mortality after embolism of the bifurcation was 39%. The major cause of death was cardiac failure (58%) followed by renal failure and pulmonary embolism. Even after long delay (4 weeks) successful operation is possible due to adequate collateral circulation supplying the extremity until the blockade is removed.
D000671:Amputation, Surgical; D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D003327:Coronary Disease / Q000150:complications; D004617:Embolism / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D011183:Postoperative Complications / Q000401:mortality
Symptomatik und Therapie der Aortenbifurkationsembolie.