The Experts below are selected from a list of 54213 Experts worldwide ranked by ideXlab platform
Alan B Lumsden - One of the best experts on this subject based on the ideXlab platform.
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acute occlusion of the Abdominal Aorta
American Journal of Surgery, 1998Co-Authors: Scott M Surowiec, Halit Isiklar, Suha Sreeram, Victor J Weiss, Alan B LumsdenAbstract:Abstract Background: Acute aortic occlusion most commonly results from aortic saddle embolus or thrombosis of an atherosclerotic Abdominal Aorta. The purpose of this study was to review the experience at a university hospital to better define the diagnosis and management of this uncommon process. Methods: A retrospective chart review was performed from patients admitted to Emory University Hospital with acute occlusion of the Abdominal Aorta from 1985 through 1997. Results: Thirty-three patients were identified. In group EMB (n = 16), occlusion was due to saddle embolus. In group IST (n = 17), occlusion was attributed to in situ thrombosis of a severely diseased Aorta. Operative procedures performed included transfemoral embolectomy (15), aortobifemoral bypass (9), axillobifemoral bypass (5), fasciotomy (3), and thrombolysis (1). The in-hospital mortality rate was 21% (31% EMB, 12% IST), and morbidity was significant and included mesenteric ischemia (6%), bleeding complications (9%), subsequent amputation (12%), renal failure (15%), recurrent embolization or thrombosis (21%), and cardiac complications (42%). Conclusions: Acute aortic occlusion has tremendous morbidity and mortality even with optimal surgical care.
Scott M Surowiec - One of the best experts on this subject based on the ideXlab platform.
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acute occlusion of the Abdominal Aorta
American Journal of Surgery, 1998Co-Authors: Scott M Surowiec, Halit Isiklar, Suha Sreeram, Victor J Weiss, Alan B LumsdenAbstract:Abstract Background: Acute aortic occlusion most commonly results from aortic saddle embolus or thrombosis of an atherosclerotic Abdominal Aorta. The purpose of this study was to review the experience at a university hospital to better define the diagnosis and management of this uncommon process. Methods: A retrospective chart review was performed from patients admitted to Emory University Hospital with acute occlusion of the Abdominal Aorta from 1985 through 1997. Results: Thirty-three patients were identified. In group EMB (n = 16), occlusion was due to saddle embolus. In group IST (n = 17), occlusion was attributed to in situ thrombosis of a severely diseased Aorta. Operative procedures performed included transfemoral embolectomy (15), aortobifemoral bypass (9), axillobifemoral bypass (5), fasciotomy (3), and thrombolysis (1). The in-hospital mortality rate was 21% (31% EMB, 12% IST), and morbidity was significant and included mesenteric ischemia (6%), bleeding complications (9%), subsequent amputation (12%), renal failure (15%), recurrent embolization or thrombosis (21%), and cardiac complications (42%). Conclusions: Acute aortic occlusion has tremendous morbidity and mortality even with optimal surgical care.
Lucian Florin Dorobantu - One of the best experts on this subject based on the ideXlab platform.
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Dissection of the Abdominal Aorta
New Approaches to Aortic Diseases from Valve to Abdominal Bifurcation, 2018Co-Authors: Lucian Florin DorobantuAbstract:Abstract Aortic dissection is rarely limited to the Abdominal Aorta. Usually, it involves the thoracic Aorta and may extend in an antegrade fashion into the Abdominal Aorta. Isolated and spontaneous dissection of the Abdominal Aorta (not associated with blunt trauma or with descending thoracic aortic dissection) represents less than 2% of all aortic dissections. There are not large series of isolated acute aortic Abdominal dissection (IAAAD) reported in the literature, this situation being considered exceptional. There are no typical symptoms and signs for IAAAD. Abdominal pain is the most frequent symptom, although dissection may be painless. Usually the dissection of the Abdominal Aorta is diagnosed spontaneously in asymptomatic patients during computed tomography examination for other reasons. There are few data regarding the strategies of management of the IAAAD. Because of the small number of patients, there are no guidelines of definitive treatment. In our opinion, asymptomatic patients with a normal Aorta as well as the patients in whom the initial pain resolves and with no other complication should be treated medically, with antihypertensive medication and beta blockers. The presence of complications, such as unrelenting pain despite the blood pressure control, pulse deficits, limb ischemia, mesenteric ischemia or infraction, acute renal failure, must be treated surgically. The goal of the surgical treatment of the aortic dissection is to close the entry site and decompress the false lumen. The standard procedure is the open surgery. It consists of replacing the affected segment of the Aorta with a Dacron graft. The endovascular approach is the modern alternative to the standard procedure.
Tena Sucic - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous isolated dissection of the Abdominal Aorta.
Collegium antropologicum, 2013Co-Authors: Ante Ivkosic, Hrvoje Budinčević, Zoran Krstonijevic, Marko Baric, Nermin Lojo, Dubravka Trajbar, Dinko Gorski, Slaven Suknaić, Tena SucicAbstract:ABSTRACT Isolated spontaneous dissection of the Abdominal Aorta is such a rare entity and there are only a few cases reported in literature up to date. A 42-year old male was admitted to the hospital with mild pain in the lower abdomen and back that had began seven days prior to admission together with the sudden onset of the ischemic symptoms of the left leg (ischemic ulcers of the calf, gangrenous toe and pallor foot). Patient denied any trauma, hypertension history was negative, while he was active cigarette smoker. MSCT and digital subtracted angiography have shown a dissection of the Abdominal Aorta approximately two centimeters below the origin of the inferior mesenteric artery extending in the left common iliac artery, with no sign of the aneurysmatic dilatation of the Abdominal Aorta. Emergent surgery was performed with aortobiiliacal bypass graft interposition, amputation of the left toe and necrectomy of the left calf. Postoperative follow up and local vascular condition were satisfied. Even though is rare entity, isolated Abdominal Aorta dissection accounts for approximately 2-4% of all aortic dissection. Nowadays therapeutic regimen includes endovascular, open surgery or conservative treatment. Key words: dissection, Abdominal Aorta, spontaneous dissection, infrarenal Abdominal Aorta, infrarenal dissection, aortic grafting, aortobiiliacal bypass
Iu V Belov - One of the best experts on this subject based on the ideXlab platform.
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Dissection and dissected aneurysm of the Abdominal Aorta
Khirurgiia, 2004Co-Authors: Iu V BelovAbstract:Experience in successful treatment of 7 patients with isolated dissection of the Abdominal Aorta is presented. Over the last 10 years 165 patients with dissected aneurysms of different sites underwent surgery. In 7 (4.2%) of them isolated dissection of the Abdominal Aorta was diagnosed. Among 251 patients operated for Abdominal aortic aneurysm dissection of its wall was seen in 2.8% cases. Morphologic study revealed atherosclerosis in 3 patients, degeneration of aortic wall - in 3, and combination of dysplasia with atherosclerosis - in 1. Linear prosthesis of Abdominal Aorta with replantation of visceral branches on single area into graft was the main (6) surgery. Bifurcation aorto-iliac prosthesis with bypass of the distal part of the deep femoral artery was performed in 1 patient. Five patients underwent elective surgery, 2 - emergency surgery.
