title: Occlusive ascending aorta and arch atheroma treated with deep hypothermic circulatory arrest and thromboendarterectomy.
abstract: We describe an uncommon presentation of severely advanced aortic atherosclerosis in a 48-year old man with a history of hypertension and heavy smoking. Initial presentation with upper limb ischaemia led to the diagnosis of an aortic arch atheroma occluding 90% of the aortic lumen, managed with deep hypothermic circulatory arrest and aortic thromboendarterectomy. To our knowledge, this is the first reported case of atherosclerotic plaque resulting in aortic occlusion and requiring emergent operative intervention.
authors: Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors: Katie E
authors: KE
authors: O' Sullivan
authors: Sarah A
authors: SA
authors: Early
authors: Leo
authors: L
authors: Lawler
authors: John
authors: J
authors: Hurley
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D050197:Atherosclerosis / Q000175:diagnosis / Q000601:surgery*; D050792:Circulatory Arrest, Deep Hypothermia Induced; D004630:Emergencies; D004691:Endarterectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D058226:Plaque, Atherosclerotic; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aorta; Atherosclerosis; Circulatory arrest; Ischaemia; Thrombendarterectomy
references: Arch Surg. 1994 Jun;129(6):603-7; discussion 607-8
references: 8204034
references: Ann Thorac Surg. 1999 Feb;67(2):457-61
references: 10197670
references: J Am Coll Cardiol. 1996 Jan;27(1):95-101
references: 8522717
references: Am J Cardiol. 2002 Feb 1;89(3):262-7
references: 11809426
references: J Am Coll Cardiol. 2000 Mar 1;35(3):545-54
references: 10716454