Shaggy aorta syndrome after acute arterial macroembolism: report of a case.
We report the case of a patient who underwent treatment for a macroembolism in the right lower leg, which led to shaggy aorta syndrome. Anticoagulant therapy for the macroembolism and intra-aortic catheterization exacerbated the patient's renal function and triggered another massive microembolization of the visceral arteries, with a fatal outcome. To minimize the incremental complications inherent to this syndrome, awareness and prompt diagnosis with enhanced computed tomography or intravenous digital subtraction aortography are essential. Axillo-bifemoral bypass with bilateral external iliac artery ligations, performed with optimal timing, could save patients with shaggy aorta syndrome.
Hayashida
Naoki
N
Department of Cardiovascular Surgery, Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, 290-0512, Chiba, Japan.
Murayama
Hirokazu
H
Pearce
Yoko
Y
Asano
Souichi
S
Ohashi
Yukio
Y
Kohno
Hiroki
H
Handa
Takemi
T
Matsuo
Kozo
K
Nakagawa
Yasutsugu
Y
Tatsuno
Katsuhiko
K
D015746:Abdominal Pain / Q000209:etiology*; D000208:Acute Disease; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D001161:Arteriosclerosis / Q000150:complications*; D017700:Embolism, Cholesterol / Q000150:complications*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D011856:Radiographic Image Enhancement; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014781:Viscera / Q000098:blood supply*