Endovasküler anevrizma tamiri sonrası uzun dönemde akut aort trombozu: Olgu sunumu

Endovasküler anevrizma tamiri sonrası uzun dönemde gelişen akut aort trombozu nadirdir. Yetmiş sekiz yaşında bir erkek hasta dört saattir istirahat ağrısı ve alt ekstremitelerde ani başlangıçlı soğukluk ile başvurdu. Öyküsünden, iki yıl önce infrarenal abdominal aort anevrizması nedeniyle endovasküler anevrizma tamiri uygulanmış olduğu öğrenildi. Hastaya infrarenal akut aort trombozuna bağlı alt ekstremitelerde akut iskemi tanısı kondu. Öncelikle ekstremitenin kurtarılması amacıyla aksillo-bifemoral baypas uygulandı. Uzun dönem takip sırasında greftin sol bacağının tekrarlayan trombozları nedeniyle, yeterli alt ekstremite akımı sağlamak amacıyla aorto-bifemoral baypas işlemi yapıldı

Acute aortic thrombosis in long-term after endovascular aneurysm repair: A case report

Acute aortic thrombosis which develops in the longtermfollowing an endovascular aneurysm repair is rare.A 78-year-old male patient presented with rest pain andsudden-onset coldness at lower limbs for four hours. Hismedical history revealed an endovascular aneurysm repairfor an infrarenal abdominal aortic aneurysm two years ago.He was diagnosed with acute ischemia at lower limbs due toacute thrombosis of the infrarenal aorta. We first performedan axillobifemoral bypass surgery for limb salvage. Due torecurrent thromboses of the left limb of the graft during longtermfollow-up, we applied aortobifemoral bypass procedure toprovide adequate lower limb flow.

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