acute aortic occlusion
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Medicine ◽  
2021 ◽  
Vol 100 (51) ◽  
pp. e28347
Author(s):  
Hirokazu Inoue ◽  
Akira Sugaya ◽  
Yuya Kimura ◽  
Yasuyuki Shiraishi ◽  
Ryo Sugawara ◽  
...  

Author(s):  
Sabine Sieber ◽  
Kerstin Stoklasa ◽  
Benedikt Reutersberg ◽  
Thomas Stadlbauer ◽  
Michael Salvermoser ◽  
...  

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Artem Minalyan ◽  
Franklin L. Thelmo ◽  
Vincent Chan ◽  
Stephanie Tzarnas ◽  
Faizan Ahmed

Abstract Background Severe acute respiratory syndrome coronavirus 2 infection can lead to a constellation of viral and immune symptoms called coronavirus disease 2019. Emerging literature increasingly supports the premise that severe acute respiratory syndrome coronavirus 2 promotes a prothrombotic milieu. However, to date there have been no reports of acute aortic occlusion, itself a rare phenomenon. We report a case of fatal acute aortic occlusion in a patient with coronavirus disease 2019. Case report A 59-year-old Caucasian male with past medical history of peripheral vascular disease presented to the emergency department for evaluation of shortness of breath, fevers, and dry cough. His symptoms started 5–7 days prior to the emergency department visit, and he received antibiotics in the outpatient setting without any effect. He was found to be febrile, tachypneic, and hypoxemic. He was placed on supplemental oxygen via a non-rebreather mask. Chest X-ray showed multifocal opacifications. Intravenous antibiotics for possible pneumonia were initiated. Hydroxychloroquine was initiated to cover possible coronavirus disease 2019 pneumonia. During the hospitalization, the patient became progressively hypoxemic, for which he was placed on bilevel positive airway pressure. D-dimer, ferritin, lactate dehydrogenase, and C-reactive protein were all elevated. Severe acute respiratory syndrome coronavirus 2 reverse transcription polymerase chain reaction was positive. On day 3, the patient was upgraded to the intensive care unit. Soon after he was intubated, he developed a mottled appearance of skin, which extended from his bilateral feet up to the level of the subumbilical plane. Bedside ultrasound revealed an absence of flow from the mid-aorta to both common iliac arteries. The patient was evaluated emergently by vascular surgery. After a discussion with the family, it was decided to proceed with comfort-directed care, and the patient died later that day. Discussion Viral infections have been identified as a source of prothrombotic states due to direct injury of vascular tissue and inflammatory cascades. Severe acute respiratory syndrome coronavirus 2 appears to follow a similar pattern, with numerous institutions identifying elevated levels of thrombotic complications. We believe that healthcare providers should be aware of both venous and arterial thrombotic complications associated with coronavirus disease 2019, including possible fatal outcome.


2021 ◽  
Vol 16 (3) ◽  
pp. 531-533
Author(s):  
Ana F. Costa ◽  
Fábio Almeida ◽  
Sara Faria ◽  
Ana Pastor ◽  
Teresa Costa ◽  
...  

Author(s):  
Amane Kozuki ◽  
Yoichi Kijima ◽  
Ryoji Nagoshi ◽  
Hiroyuki Shibata ◽  
Masahiro Shimizu ◽  
...  

Author(s):  
Stefania Tamburrini ◽  
Daniela Viola ◽  
Fabio Spinetti ◽  
Giuseppe Mercogliano ◽  
Giuseppe Sarti ◽  
...  

A 75-years-old man presented at our ED with acute onset of paraplegia and severe bilateral lower limb hyposthenia. The patient ‘s neurological assessment was negative except for lower limbs positive Mingazzini test. CT angiography detected a complete lack of opacification of the abdominal aorta immediately below the emergency of the inferior mesenteric artery, caused by a coarse thrombus in the left ventricle. We present a case of acute aortic and lumbar arteries thrombosis with paraplegia and no clear symptoms of acute limb ischemia, in which the motor deficit in the lower extremities was explained by anterior spinal cord syndrome secondary to acute occlusion of lumbar arteries.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
George L. Hines ◽  
Helen H. Liu

2020 ◽  
Vol 13 (3) ◽  
pp. e233238
Author(s):  
Brianna Barsanti-Innes ◽  
Graham Roche-Nagle

Acute aortic occlusion (AAO) is an uncommon but potentially devastating vascular emergency with reported perioperative mortality rates of up to 75%. We present the case of AAO in a 69-year-old woman who was transferred to our institution after presenting with sudden onset bilateral acute limb ischaemia. Imaging showed a completely obstructed aortoiliac segment with renal infarcts. She was treated successfully with aortoiliac over the wire thrombectomy.


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