The authors present a case of aortic dissection and abdominal aortic aneurysm thrombosis in a 78-year-old male who presented to the emergency department (ED) complaining of lower extremity and paralysis for the past 1.5 hours. The initial vital signs in the ED were as follows: blood pressure (BP) 132/88 mmHg, heart rate (HR) 96, respiratory rate (RR) 14, and an oxygen saturation of 94% at room ...

Figure 1. Noncontrast CT of aorta. A, A –cm infrarenal aortic aneurysm (Ao) with a calcified wall. High-density periaortic fluid (arrow) of 7 ϫ 7 the same density as muscle represented leakage of blood. B, Aneurysm of the right and left common iliac arteries (RI and LI, respectively), especially at the right side, with high-density fluid (arrows) around RI emphasizing evidence of leakage. Diagn...

Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his ...

background: surgical treatment of a ruptured abdominal aorta aneurysm (raaa) continues to present a significant challenge to surgeons. there are some patient factors such as age and gender that cannot be changed, and comorbid conditions can be optimized but not eliminated.  the purpose of this study was to identify the risk factors affecting high mortality after the surgical repair of an raaa. ...

Complete aortic occlusion is rare, but potentially catastrophic. It usually occurs in patients with advanced aortoiliac atherosclerosis, and can cause severe ischaemic manifestations (7). Acute aortic occlusion bears an early mortality of 31–52 % (1, 7) and is caused either by embolic occlusion or by acute thrombosis of the infrarenal abdominal aorta. Between 75–80 % of cases of thrombotic aort...

Stent-graft migration and type I endoleaks are associated with a higher rate of reintervention and increased mortality and morbidity. This article describes a patient presented with an infrarenal aortic stent-graft which had migrated into the aortic sac with loss of all aortic neck attachment. The acutely expanding abdominal aortic aneurysm was treated by placing a second modular endograft with...

ObjectivePrevious studies evaluating the association between abdominal aortic aneurysm (AAA) size with postoperative outcomes after open repairs seldom accounted for renal or visceral artery involvement, proximal clamp site, intraoperative ischemia time, and hospital volume. This study examined repairs.MethodsWe identified patients who underwent of infrarenal versus juxtarenal nonruptured AAAs,...