Blue toes due to floating plaque of the abdominal aorta: endovascular repair with stent.
A 60 year old male patient was admitted with so-called blue toes on both sides. Investigation, including real-time ultrasound, revealed a floating plaque on the dorsal side of the abdominal aorta as the most probable cause of the blue toes. By means of simultaneous fluoroscopy and ultrasound guided implantation of a stent it was possible to restore a free lumen of the aorta. The patient had an uncomplicated recovery. Post-operative colour coded Doppler ultrasound showed normal flow in the aorta. Follow-up examination one year after the procedure demonstrated no evidence of further embolic events and a patent aorta.
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Angiology Division, Inselspital, University of Bern.
Chevili
S
S
Baumgartner
I
I
Triller
J
J
Striffeler
H
H
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D001161:Arteriosclerosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014034:Toes / Q000098:blood supply*; D018615:Ultrasonography, Doppler, Color