title: Shaggy aorta syndrome after acute arterial macroembolism: report of a case.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, 290-0512, Chiba, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Hayashida
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Murayama
authors.forename: Yoko
authors.initials: Y
authors.lastname: Pearce
authors.forename: Souichi
authors.initials: S
authors.lastname: Asano
authors.forename: Yukio
authors.initials: Y
authors.lastname: Ohashi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kohno
authors.forename: Takemi
authors.initials: T
authors.lastname: Handa
authors.forename: Kozo
authors.initials: K
authors.lastname: Matsuo
authors.forename: Yasutsugu
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Tatsuno
mesh_terms: 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*