A Case Series of Completely Thrombosed Abdominal Aortic Aneurysms
Abstract
:1. Introduction
2. Materials and Methods
2.1. Definitions
2.2. Technical Details
2.3. Statistical Analysis [8]
3. Results
3.1. Study Population
3.2. Procedural Details
3.3. Postoperative Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Anjum, A.; von Allmen, R.; Greenhalgh, R.; Powell, J.T. Explaining the decrease in mortality from abdominal aortic aneurysm rupture. Br. J. Surg. 2012, 99, 637–645. [Google Scholar] [CrossRef]
- Li, H.L.; Chan, Y.C.; Cui, D.Z.; Cheng, S.W. Acute Thrombosis of an Infrarenal Abdominal Aortic Aneurysm Presenting as Bilateral Critical Lower Limb Ischemia. Vasc. Endovasc. Surg. 2021, 55, 186–188. [Google Scholar] [CrossRef] [PubMed]
- Robaldo, A.; Apostolou, D.; Persi, F.; Peano, E.; Maione, M. EVAR Solution For Acutely Thrombosed Abdominal Aortic Aneurysm in a Patient with COVID-19. EJVES Vasc. Forum 2022, 54, 41–43. [Google Scholar] [CrossRef] [PubMed]
- Wu, C.Y.; Rectenwald, J.E. Incidental discovery of a chronically thrombosed abdominal aortic aneurysm: Case report and literature review. Ann. Vasc. Surg. 2015, 29, 1018.e1–1018.e4. [Google Scholar] [CrossRef]
- Chaikof, E.L.; Dalman, R.L.; Eskandari, M.K.; Jackson, B.M.; Lee, W.A.; Mansour, M.A.; Mastracci, T.M.; Mell, M.; Murad, M.H.; Nguyen, L.L.; et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J. Vasc. Surg. 2018, 67, 2–77.e2. [Google Scholar] [CrossRef] [PubMed]
- Mathew, G.; Sohrabi, C.; Franchi, T.; Nicola, M.; Kerwan, A.; Agha, R.; PROCESS Group. Preferred Reporting Of Case Series in Surgery (PROCESS) 2023 guidelines. Int. J. Surg. 2023, 109, 3760–3769. [Google Scholar] [CrossRef]
- Jayaraj, A.; DeMartino, R.R.; Bower, T.C.; Oderich, G.S.; Gloviczki, P.; Kalra, M.; Duncan, A.A.; Fleming, M.D. Outcomes Following Inferior Mesenteric Artery Reimplantation During Elective Aortic Aneurysm Surgery. Ann. Vasc. Surg. 2020, 66, 65–69. [Google Scholar] [CrossRef]
- Hickey, G.L.; Dunning, J.; Seifert, B.; Sodeck, G.; Carr, M.J.; Burger, H.U.; Beyersdorf, F.; EJCTS and ICVTS Editorial Committees. Statistical and data reporting guidelines for the European Journal of Cardio-Thoracic Surgery and the Interactive CardioVascular and Thoracic Surgery. Eur. J. Cardiothorac. Surg. 2015, 48, 180–193. [Google Scholar] [CrossRef]
- Suliman, A.S.; Raffetto, J.D.; Seidman, C.S.; Menzoian, J.O. Acute thrombosis of abdominal aortic aneurysms—Report of two cases and review of the literature. Vasc. Endovasc. Surg. 2003, 37, 71–75. [Google Scholar] [CrossRef]
- Bogie, R.; Willigendael, E.M.; de Booij, M.; Meesters, B.; Teijink, J.A. Acute thrombosis of an abdominal aortic aneurysm: A short report. Eur. J. Vasc. Endovasc. Surg. 2008, 35, 590–592. [Google Scholar] [CrossRef]
- Sincos, I.R.; da Silva, E.S.; Ragazzo, L.; Belczak, S.; Nascimento, L.D.; Puech-Leão, P. Chronic thrombosed abdominal aortic aneurysms: A report on three consecutive cases and literature review. Clinics 2009, 64, 1227–1230. [Google Scholar] [CrossRef]
- Filis, K.A.; Lagoudianakis, E.E.; Markogiannakis, H.; Kotzadimitriou, A.; Koronakis, N.; Bramis, K.; Xiromeritis, K.; Theodorou, D.; Manouras, A. Complete abdominal aortic aneurysm thrombosis and obstruction of both common iliac arteries with intrathrombotic pressures demonstrating a continuing risk of rupture: A case report and review of the literature. J. Med. Case Rep. 2009, 3, 9292. [Google Scholar] [CrossRef] [PubMed]
- Ishaque, B.M.; Ge, P.S.; Rigberg, D.; de Virgilio, C. Acute thrombosis of an abdominal aortic aneurysm followed by delayed rupture associated with bacterial infection. Ann. Vasc. Surg. 2010, 24, 524.e1–524.e4. [Google Scholar] [CrossRef]
- Tanaka, S.; Tanaka, K.; Morioka, K.; Yamada, N.; Takamori, A.; Handa, M.; Ihaya, A.; Sasaki, M.; Ikeda, T. Thrombosed abdominal aortic aneurysm associated with an extensively “shaggy” aorta repaired anatomically via a thoracoabdominal approach with supraceliac aortic clamping: Report of a case. Surg. Today 2010, 40, 866–870. [Google Scholar] [CrossRef] [PubMed]
- Dasari, B.V.; McBrearty, A.; George, R.; Boyd, C.; Soong, C.; Lau, L. Acute thrombosis of abdominal aortic aneurysm presenting with lower limb ischaemia. ANZ J. Surg. 2011, 81, 945–946. [Google Scholar] [CrossRef] [PubMed]
- Watson, T.J.; Childers, W.K.; Haga, L.; Calaitges, J. Acute Bilateral Lower Extremity Paralysis Secondary to Acute Thrombosis of an Infrarenal Abdominal Aortic Aneurysm. Aorta 2017, 5, 91–95. [Google Scholar] [CrossRef]
- Bae, E.H.; Ma, S.K.; Kim, S.W. Unilateral renal atrophy associated with abdominal aortic aneurysm. Kidney Res. Clin. Pract. 2017, 36, 394–395. [Google Scholar] [CrossRef]
- Vasdekis, S.N.; Mastoraki, S.; Lazaris, A.; Moulakakis, K.G. An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia. Aorta 2018, 6, 31–33. [Google Scholar] [CrossRef]
- Anastasiadou, C.; Giannakakis, S.; Papapetrou, A.; Galyfos, G.; Papacharalampous, G.; Maltezos, C. Late Rupture of a Totally Thrombosed Abdominal Aortic Aneurysm: A Case Report and Literature Review. Ann. Vasc. Surg. 2018, 46, 368.e5–368.e8. [Google Scholar] [CrossRef]
- Karkos, C.D.; Asaloumidis, N.; Mitka, M.; Giagtzidis, I.T.; Papazoglou, K.O. Endovascular Treatment of a Chronically Thrombosed Abdominal Aortic Aneurysm: Technical Considerations. Ann. Vasc. Surg. 2020, 64, 409.e1–409.e5. [Google Scholar] [CrossRef]
- Soon, J.; Lee, S. Thrombosed Abdominal Aortic Aneurysm Resulting in Acute Bilateral Lower Limb Ischaemia. EJVES Vasc. Forum 2022, 54, 68. [Google Scholar] [CrossRef] [PubMed]
- Hazra, D.N.; Sen, I.; Mahajan, A.; Agarwal, S. Complete Aortic Thrombosis in a Ruptured Mycotic Aneurysm Due to Infection with Burkholderia Pseudomallei. Indian J. Vasc. Endovasc. Surg. 2019, 6, 135–137. [Google Scholar] [CrossRef]
Covariate | Patients |
---|---|
(total, n = 16) | |
Demographics | |
Male, n (%) | 16 (100) |
Age, mean (SD) | 74 (8) |
>80-year | 4 (25.0) |
Comorbidities, n (%) | |
Hypertension | 16 (100) |
Smoking habit | 14 (87.5) |
Dyslipidemia | 14 (87.5) |
Chronic obstructive pulmonary disease | 7 (44) |
Coronary artery disease | 2 (12.5) |
Diabetes | 2 (12.5) |
Cancer | 2 (12.5) |
Symptoms, n (%) | |
Abdominal pain | 4 (25.0) |
Hemorrhagic shock | 2 (12.5) |
Acute lower limb ischemia | 5 (31.5) |
Chronic limb ischemia | 9 (56) |
Covariate | Patients |
---|---|
(total, n = 16) | |
Additional procedure, n (%) | 13 |
IMA transposition | 4 (25) |
Femoral endarterectomy/patch | 3 (19) |
Femoro-popliteal thrombectomy | 3 (19) |
Juxtarenal aortic endarterectomy | 1 (6) |
Hypogastric artery bypass | 1 (6) |
Femoro-popliteal bypass | 1 (6) |
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Bellosta, R.; Sala, G.A.; Franchin, M.; Luzzani, L.; Pucci, A.; Piffaretti, G.; Cervarolo, M.C. A Case Series of Completely Thrombosed Abdominal Aortic Aneurysms. J. Cardiovasc. Dev. Dis. 2025, 12, 98. https://doi.org/10.3390/jcdd12030098
Bellosta R, Sala GA, Franchin M, Luzzani L, Pucci A, Piffaretti G, Cervarolo MC. A Case Series of Completely Thrombosed Abdominal Aortic Aneurysms. Journal of Cardiovascular Development and Disease. 2025; 12(3):98. https://doi.org/10.3390/jcdd12030098
Chicago/Turabian StyleBellosta, Raffaello, Giulia Anna Sala, Marco Franchin, Luca Luzzani, Alessandro Pucci, Gabriele Piffaretti, and Maria Cristina Cervarolo. 2025. "A Case Series of Completely Thrombosed Abdominal Aortic Aneurysms" Journal of Cardiovascular Development and Disease 12, no. 3: 98. https://doi.org/10.3390/jcdd12030098
APA StyleBellosta, R., Sala, G. A., Franchin, M., Luzzani, L., Pucci, A., Piffaretti, G., & Cervarolo, M. C. (2025). A Case Series of Completely Thrombosed Abdominal Aortic Aneurysms. Journal of Cardiovascular Development and Disease, 12(3), 98. https://doi.org/10.3390/jcdd12030098