Microembolization from an abdominal aortic aneurysm after thoracic aortic replacement.
A 66-year-old man with thoracic and abdominal aortic aneurysm suffered from microembolism in the lower extremities after total arch replacement. He presented with livedo reticularis with palpable peripheral pulses, and the serum creatinine kinase level elevated up to 7,695. The abdominal aortic aneurysm, but not the thoracic aorta, was the origin of this complication. The morphological change of thrombus in the abdominal aorta detected by ultrasonography was the key to the diagnosis. Graft replacement of the abdominal aorta finally resolved his problem.
Shingu
Yasushige
Y
Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Shiiya
Norihiko
N
Sugiki
Takashi
T
Wakasa
Satoru
S
Matsuzaki
Kenji
K
Kunihara
Takashi
T
Matsui
Yoshiro
Y
D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003402:Creatine Kinase / Q000097:blood; D004617:Embolism / Q000209:etiology* / Q000473:pathology; D006801:Humans; D054068:Livedo Reticularis / Q000209:etiology; D008297:Male; D054546:Neuroacanthocytosis; D013908:Thoracotomy; D014463:Ultrasonography
D003402:Creatine Kinase