A modern series of acute aortic occlusion

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Presentation transcript:

A modern series of acute aortic occlusion Jeffrey D. Crawford, MD, Kenneth H. Perrone, BS, Victor W. Wong, MD, Erica L. Mitchell, MD, Amir F. Azarbal, MD, Timothy K. Liem, MD, Gregory J. Landry, MD, Gregory L. Moneta, MD  Journal of Vascular Surgery  Volume 59, Issue 4, Pages 1044-1050 (April 2014) DOI: 10.1016/j.jvs.2013.10.080 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Level of aortic occlusion. The gray represents the segment of abdominal aorta occluded by thrombus or embolus diagnosed by computed tomography angiography (CTA), duplex ultrasound, or angiography. Internal iliac arteries were occluded bilaterally in 12 patients, unilateral occlusion present in 5, and patent in 7 patients. Patency could not be assessed in five patients. SMA, Superior mesenteric artery. Original figure created by Victor W. Wong. Journal of Vascular Surgery 2014 59, 1044-1050DOI: (10.1016/j.jvs.2013.10.080) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Etiology of acute aortic occlusions (AAOs). Journal of Vascular Surgery 2014 59, 1044-1050DOI: (10.1016/j.jvs.2013.10.080) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Revascularization. A total of 26 patients underwent revascularization with the number of patients given in parentheses. Three patients had no intervention. Journal of Vascular Surgery 2014 59, 1044-1050DOI: (10.1016/j.jvs.2013.10.080) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Sagittal computed tomography angiography (CTA) demonstrating acute aortic occlusion (AAO) of the infrarenal aorta (left). Sagittal CTA of a patient with an AAO above the superior mesenteric artery (SMA) with a patent celiac artery and distal reconstitution of the SMA (right). Journal of Vascular Surgery 2014 59, 1044-1050DOI: (10.1016/j.jvs.2013.10.080) Copyright © 2014 Society for Vascular Surgery Terms and Conditions