Abdominal aortic hypoplasia: clinical and technical considerations.
Hypoplasia of the distal abdominal aorta, first described by Quain in 1847, is rarely associated with atherosclerotic occlusive disease. The condition usually occurs early in life; the principal clinical features are hypertension and arterial insufficiency of the lower extremities which is often well tolerated. Some 20 patients had operations for abdominal aortic hypoplasia; 16 underwent prosthetic reconstruction and four had aortoiliac endarterectomy with angioplasty. Reconstructive techniques were influenced by narrow renal arteries and by the presence of extensive atheroma. The long-term prognosis is often poor, especially in patients with extensive disease.
Department of Vascular Surgery, University of Bologna, Italy.
F
F
Magnoni
E
E
Pisano
M
M
Cirelli
S
S
Tarantini
L
L
Pedrini
D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery; D001161:Arteriosclerosis / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014463:Ultrasonography