Korean J Thorac Cardiovasc Surg.  2005 Oct;38(10):710-713.

Acute Abdominal Aortic Occlusion after Open Heart Surgery: A case report

• Han WK
• Lee JT
• Cho JY

Abstract

Acute abdominal Aortic occlusion is rare but it is a vascular emergency with high mortality and morbidity. Therefore, delay in diagnosis can have severe impact on the prognosis. A 60-year-old women complained of paresthesia, paralysis, and severe pain in bilateral lower extremities on 13th day after open heart surgery for mitral stenosis, atrial fibrillation, coronary arterial stenosis, tricuspid regurgitation, and atrial septal defect. Her skin was mottled and cool from the umbilicus to the feet, and there were no palpable pulses in the lower exteremities. We diagnosed an acute abdominal aortic occlusion using the Multi-Detector Row Spiral Computed Tomography and successfully treated the problem with emergent thrombo-embolectomy and Aortobifemoral bypass.

Keyword

Aorta, abdominal; Thrombosis; Bypass

MeSH Terms

Aorta, Abdominal
Atrial Fibrillation
Constriction, Pathologic
Diagnosis
Emergencies
Female
Foot
Heart Septal Defects, Atrial
Heart*
Humans
Lower Extremity
Middle Aged
Mitral Valve Stenosis
Mortality
Paralysis
Paresthesia
Prognosis
Skin
Thoracic Surgery*
Thrombosis
Tomography, Spiral Computed
Tricuspid Valve Insufficiency
Umbilicus