title: Microembolization from an abdominal aortic aneurysm after thoracic aortic replacement.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
authors.forename: Yasushige
authors.initials: Y
authors.lastname: Shingu
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shiiya
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugiki
authors.forename: Satoru
authors.initials: S
authors.lastname: Wakasa
authors.forename: Kenji
authors.initials: K
authors.lastname: Matsuzaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Kunihara
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Matsui
mesh_terms: 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
chemical_list: D003402:Creatine Kinase