scholarly journals “Blue-toe” syndrome as a possible complication of the abdominal aortic aneurysm: A report of two cases

2014 ◽  
Vol 142 (3-4) ◽  
pp. 229-232
Author(s):  
Petar Popov ◽  
Slobodan Tanaskovic ◽  
Vuk Sotirovic ◽  
Srdjan Babic ◽  
Dragoslav Nenezic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Tissue Loss ◽  
Surgical Reconstruction ◽  
Mural Thrombus ◽  
Abdominal Ultrasonography ◽  
Digital Ischemia ◽  
Pulsatile Mass ◽  
Abdominal Aortic ◽  
Blue Toe Syndrome

Introduction. Severe extremity ischemia and the presence of the ?blue-toe? syndrome are rarely the first complications of the present abdominal aortic aneurysm. We report two interesting cases of this rare entity. Outline of Cases. A 61-year-old man presented with the rest pain of his toes accompanied with digital ischemia of both feet. Physical examination confirmed regular arterial pulses at lower extremities accompanied with palpable pulsate mass in the abdomen. Vascular ultrasound and multidetector tomography (MDCT) of blood vessels revealed small abdominal aortic aneurysm (37 mm in diameter), filled with the irregular, ulcerated, heterogeneous thrombotic masses. Aneurysm sac resection was performed with an aorto-bi-iliac bypass reconstruction. A week later, it was mandatory to amputate the fifth toe on the left foot because of the advanced gangrenous process. The second case was a 77-year-old woman with 7-day history of severe feet pain. Abdominal examination revealed pulsatile mass paraumbilical to the left. Performed abdominal ultrasonography and MDCT angiography confirmed coexistence of the infrarenal aortic aneurysm, 40.5 mm in diameter, covered by significant mobile mural thrombus and ulcerations. Surgical reconstruction was mandatory and patient underwent aneurysm sac resection and aortobifemoral reconstruction. Conclusion. Embolic phenomenon and peripheral embolic occlusion from the mural thrombus within the abdominal aortic aneurysm are relatively rare events, but associated with tissue loss. Thorough diagnostic examinations and prompt management are required regardless of the aneurysm size once these signs occurred.

NEUTROPHIL RECRUITMENT IN MURAL THROMBUS OF HUMAN ABDOMINAL AORTIC ANEURYSM

2008 ◽  
Vol 9 (1) ◽  
pp. 14
Author(s):  
X. Houard ◽  
Z. Touat ◽  
V. Ollivier ◽  
M. Philippe ◽  
L. Louedec ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Neutrophil Recruitment ◽  
Mural Thrombus ◽  
Abdominal Aortic

Abstract 18096: Screening of Abdominal Aortic Aneurysm during Transthoracic Echocardiography

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Takao Kato ◽  
Masahiro Kimura ◽  
Moritoshi Funasako ◽  
Eisaku Nakane ◽  
Toshiaki Izumi ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Transthoracic Echocardiography ◽  
Multivariate Logistic Regression Model ◽  
Multivariate Logistic Regression ◽  
Abdominal Ultrasonography ◽  
Confounding Bias ◽  
Abdominal Aortic ◽  
Male Sex

Introduction: We previously reported that the prevalence of abdominal aortic aneurysm (AAA) in patients who underwent scheduled transthoracic echocardiography (TTE) was higher than that of AAA in patients who underwent abdominal ultrasonography (AUS). However, the patient backgrounds differed significantly between the two groups. Hypothesis: We hypothesized TTE detected AAA as similarly as AUS, one of standard methods for the screening of AAA. Methods: A total of 7,619 patients who were scheduled for TTE from 2009 to 2010 in our hospital were prospectively included. The abdominal aorta was evaluated at the end of the routine protocol. All patients who received scheduled abdominal ultrasonography (AUS) during the same period, a total of 15,433 patients, were included. The patients with known AAA and those without consent were excluded. In order to compare the TTE group to AUS group, we developed a propensity score for profiles of patients who received TTE or AUS for potential confounding bias. Specifically, a multivariate logistic regression model was fit with TTE or AUS as a dependent variable, which included age, sex, numbers of comorbidities, and the presence of each comorbidity. Consequently, 4,388 patients in each group were matched for analyses. Results: In propensity-matched patients, AAA was detected in 59 patients of TTE group and 48 patients of AUS group and the prevalence of the detection of AAA was not different between TTE and AUS (p=0.331). Positive associations were observed between AAA detected and male sex (adjusted odds ratio [OR], 3.25; 95% CI, 2.05-5.15; P<.001), older age (adjusted OR, 1.029; 95% CI, 1.01-1.046; P<.001), having ischemic heart disease (adjusted OR, 1.78; 95% CI, 1.04-3.03; P=0.033), and having hypertension (adjusted OR, 2.16; 95% CI, 1.38-3.38; P=001). Conclusions: TTE detected AAA as similarly as AUS. This result suggested that additional examination of the abdominal aorta during scheduled TTE was efficient for the screening of AAA.

scholarly journals Blue toe syndrome

2005 ◽  
Vol 4 (4) ◽  
pp. 391-393 ◽  
Author(s):  
Paulo Eduardo Ocke Reis
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Renal Artery ◽  
Elderly Men ◽  
Cholesterol Crystals ◽  
Tissue Ischemia ◽  
Abdominal Aortic ◽  
Blue Toe Syndrome ◽  
Vascular Procedure ◽  
Successful Repair

The authors report the case of a man with blue toe syndrome, who developed bilateral foot ischemia and underwent successful repair of an abdominal aortic aneurysm and associated renal artery stenosis. Blue toe syndrome is characterized by tissue ischemia secondary to embolization of cholesterol crystals or atherothrombotic debris. Microembolization most often occurs in elderly men who undergo an invasive vascular procedure or have an aneurysm.

scholarly journals 1527: BLUNT INJURY TO AN ABDOMINAL AORTIC ANEURYSM: A RARE REPORT OF TRAUMATIC MURAL THROMBUS EMBOLISM

2021 ◽  
Vol 50 (1) ◽  
pp. 767-767
Author(s):  
Melissa Hetrick ◽  
Steven Ballesteros ◽  
Shruthi Thiragarajasubramanian ◽  
Alan Murdock ◽  
Eunice Chung
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Blunt Injury ◽  
Mural Thrombus ◽  
Abdominal Aortic ◽  
Rare Report

Abdominal aortic aneurysm as an incidental finding in abdominal ultrasonography

1991 ◽  
Vol 78 (10) ◽  
pp. 1261-1263 ◽  
Author(s):  
G. J. M. Akkersdijk ◽  
A. C. de Vries ◽  
J. B. C. M. Puylaert
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Incidental Finding ◽  
Abdominal Ultrasonography ◽  
Abdominal Aortic

Rapidly growing mural thrombus in an abdominal aortic aneurysm

1993 ◽  
Vol 8 (3) ◽  
pp. 166-169 ◽  
Author(s):  
Keiji Yamamoto ◽  
Uichi Ikeda ◽  
Yoko Ikeda ◽  
Yoshitane Seino ◽  
Tetsuo Takayasu ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Mural Thrombus ◽  
Abdominal Aortic

scholarly journals Novel surgical reconstruction of a mycotic abdominal aortic aneurysm using cryopreserved femoral arterial allograft from the NHS tissue bank: a new resource for UK vascular surgeons

2012 ◽  
Vol 94 (1) ◽  
pp. e15-e17 ◽  
Author(s):  
K Abbas ◽  
J Davies ◽  
I Kabir ◽  
M Ahmad ◽  
ML Baroni ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Tissue Bank ◽  
Aortic Aneurysms ◽  
Surgical Reconstruction ◽  
Successful Management ◽  
Abdominal Aortic ◽  
Arterial Allograft ◽  
The Uk ◽  
First Time

The treatment of mycotic abdominal aortic aneurysms remains a significant surgical challenge associated with significant morbidity and mortality. In the following case report, we describe our successful management of a patient with a mycotic abdominal aortic aneurysm using two cryopreserved superficial femoral artery allografts (available from the UK NHS tissue bank) to create a Y-shaped allograft to permit immediate aortic reconstruction after surgical debridement. To our knowledge, this is the first time such a reconstruction has been reported in the literature.

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