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.
Subject(s)
Abdominal Pain/etiology , Aortic Diseases/complications , Arteriosclerosis/complications , Embolism, Cholesterol/complications , Viscera/blood supply , Acute Disease , Aorta, Abdominal , Aortic Diseases/diagnostic imaging , Fatal Outcome , Humans , Male , Middle Aged , Radiographic Image Enhancement , Syndrome , Tomography, X-Ray ComputedABSTRACT
We report the case of a 64-year-old woman who had an atypical subendocardial aneurysm, a space between the internal patch, which was used for the repair of a left ventricular rupture after mitral valve replacement, and myocardium, which filled with blood during the diastole phase. During the follow-up period, the aneurysm spontaneously disappeared. This case endorses combining internal and external approaches to repair a left ventricular rupture after mitral valve replacement.
