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Total occlusion of the abdominal aorta in a patient with renal failure and refractory hypertension: a case report

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Item Type:Article
Title:Total occlusion of the abdominal aorta in a patient with renal failure and refractory hypertension: a case report
Creators Name:Perrino, C. and Scudiero, L. and Petretta, M.P. and Schiattarella, G.G. and De Laurentis, M. and Ilardi, F. and Magliulo, F. and Carotenuto, G. and Esposito, G.
Abstract:Total occlusion of the abdominal aorta is unusual, and potentially catastrophic. It occurs in patients with advanced atherosclerotic occlusive disease, and can cause severe ischemic manifestations, depending on the site of obstruction. Prompt and appropriate diagnostic and therapeutic approaches are important whenever this condition is suspected, in order to avoid a fatal outcome. The development of a complex network of collaterals may prevent the manifestation of acute ischemic phenomena, and cause a delay in diagnosis and treatment. Here we report the clinical case of a 59-year-old man who was referred to our Department for evaluation of renal failure and refractory hypertension. Ultrasonography and 99mTc-DTPA scintigraphy showed a shrunken, non-functioning left kidney, while CT angiography and aortography showed the complete occlusion of the aorta from below the right renal artery down to the bifurcation of both common iliac arteries, with a critical stenosis of the origin of the right renal artery, an occlusion of the left renal artery as well as of the origin of the inferior mesenteric artery. The patient was referred to the surgery department for aorto-bifemoral bypass surgery and re-implantation of the right renal artery.
Keywords:Atherosclerosis, Abdominal Aorta
Source:Monaldi Archives for Chest Disease
Publisher:Fondazione Salvatore Maugeri
Page Range:43-46
Date:March 2011
Official Publication:https://doi.org/10.4081/monaldi.2011.205
PubMed:View item in PubMed

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