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CC BY 4.0 · Aorta (Stamford) 2018; 06(01): 031-033
DOI: 10.1055/s-0038-1636991
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia

Spyridon N. Vasdekis
1   Department of Vascular Surgery, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
,
Sotiria Mastoraki
1   Department of Vascular Surgery, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
,
Andreas Lazaris
1   Department of Vascular Surgery, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
,
Konstantinos G. Moulakakis
1   Department of Vascular Surgery, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
› Author Affiliations Funding None.
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Publication History

Publication Date:
27 July 2018 (online)

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Abstract

Acute thrombosis of an abdominal aortic aneurysm (AAA) is a rare and often devastating complication with high morbidity and mortality. In some cases, however, it may be associated with a silent course without signs of acute limb ischemia. The aim of this report is to describe an unusual case of acute thrombosis of AAA without signs of acute limb ischemia. Preoperative anxiety, stress, and phobia for surgery may be factors predisposing to acute thrombosis of an AAA.

Keywords

abdominal aortic aneurysm - thrombosis - ischemia
 

  • References

  • 1 Bogie R, Willigendael EM, de Booij M, Meesters B, Teijink JA. Acute thrombosis of an abdominal aortic aneurysm: a short report. Eur J Vasc Endovasc Surg 2008; 35 (05) 590-592
    CrossrefPubMedGoogle Scholar
  • 2 Hirose H, Takagi M, Hashiyada H. , et al. Acute occlusion of an abdominal aortic aneurysm--case report and review of the literature. Angiology 2000; 51 (06) 515-523
    CrossrefPubMedGoogle Scholar
  • 3 Suliman AS, Raffetto JD, Seidman CS, Menzoian JO. Acute thrombosis of abdominal aortic aneurysms--report of two cases and review of the literature. Vasc Endovascular Surg 2003; 37 (01) 71-75
    CrossrefPubMedGoogle Scholar
  • 4 Shumacker Jr HB. Surgical treatment of aortic aneurysms. Postgrad Med 1959; 25 (05) 535-548
    CrossrefPubMedGoogle Scholar
  • 5 Jannetta PJ, Roberts B. Sudden complete thrombosis of an aneurysm of the abdominal aorta. N Engl J Med 1961; 264: 434-436
    CrossrefPubMedGoogle Scholar
  • 6 El-Kayali A, Al-Salman MM. Unusual presentation of acute bilateral lower limb ischemia (thrombosis of abnormal aortic aneurysm). Ann Saudi Med 2001; 21 (5-6): 342-343
    CrossrefPubMedGoogle Scholar
  • 7 Criado FJ. Acute thrombosis of abdominal aortic aneurysm. Tex Heart Inst J 1982; 9 (03) 367-371
    PubMedGoogle Scholar
  • 8 Cowan KN, Lawlor DK. Sudden onset of paraplegia from acute aortic occlusion: a review of 2 cases and their unique presentation. Am J Emerg Med 2006; 24 (04) 479-481
    CrossrefPubMedGoogle Scholar
  • 9 Wong SSN, Roche-Nagle G, Oreopoulos G. Acute thrombosis of an abdominal aortic aneurysm presenting as cauda equina syndrome. J Vasc Surg 2013; 57 (01) 218-220
    CrossrefPubMedGoogle Scholar
  • 10 Schwartz RA, Nichols WK, Silver D. Is thrombosis of the infrarenal abdominal aortic aneurysm an acceptable alternative?. J Vasc Surg 1986; 3 (03) 448-455
    CrossrefPubMedGoogle Scholar
  • 11 Resnikoff M, Darling III RC, Chang BB. , et al. Fate of the excluded abdominal aortic aneurysm sac: long-term follow-up of 831 patients. J Vasc Surg 1996; 24 (05) 851-855
    CrossrefPubMedGoogle Scholar
  • 12 Wu CY, Rectenwald JE. Incidental discovery of a chronically thrombosed abdominal aortic aneurysm: case report and literature review. Ann Vasc Surg 2015; 29 (05) 1018.e1-1018.e4
    CrossrefPubMedGoogle Scholar
  • 13 Leke MA, Rowe VL, Hood DB, Katz SG, Kohl RD, Weaver FA. Rupture of a previously thrombosed thoracoabdominal aneurysm. Ann Vasc Surg 2003; 17 (02) 143-147
    CrossrefPubMedGoogle Scholar
  • 14 Kumar V. Endovascular treatment of an acutely thrombosed AAA. J Endovasc Ther 2005; 12 (01) 70-73
    CrossrefPubMedGoogle Scholar
  • 15 Moulakakis KG, Maras D, Bountouris I, Pomoni M, Georgakis P, Andrikopoulos V. “Silent” thrombosis of an abdominal aortic aneurysm not producing acute limb ischemia. Vasa 2010; 39 (03) 265-267
    CrossrefPubMedGoogle Scholar
  • 16 Sincos IR, da Silva ES, Ragazzo L, Belczak S, Nascimento LD, Puech-Leão P. Chronic thrombosed abdominal aortic aneurysms: a report on three consecutive cases and literature review. Clinics (Sao Paulo) 2009; 64 (12) 1227-1230
    CrossrefPubMedGoogle Scholar
  • 17 Pozzi AO, Bernardo E, Coronado MT, Punchard MA, González P, Fantidis P. Acute arterial thrombosis in the absence of inflammation: the stress-related anti-inflammatory hormone ACTH participates in platelet-mediated thrombosis. Atherosclerosis 2009; 204 (01) 79-84
    CrossrefPubMedGoogle Scholar
  • 18 Zgraggen L, Fischer JE, Mischler K, Preckel D, Kudielka BM, von Känel R. Relationship between hemoconcentration and blood coagulation responses to acute mental stress. Thromb Res 2005; 115 (03) 175-183
    CrossrefPubMedGoogle Scholar