PDF(Pubmed)
Abstract：
Acute aortic occlusions (AAOs) are rare vascular emergencies associated with high morbidity and mortality. Presenting signs and symptoms vary but typically involve the lower extremities and include mottled skin with diminished pedal pulses, paresis, and severe pain. Prompt recognition and imaging are necessary to prevent rapid deterioration, which can lead to loss of limb or death. Treatment includes surgical or endovascular interventions based on patient-associated risk factors and clot location. We present a 76-year-old female who arrived at the emergency department with an AAO involving the infrarenal abdominal aorta and bilateral common iliac arteries. Efficient physical examination and utilization of computed tomography with angiography of the abdomen and pelvis allowed for the appropriate recognition of the AAO and subsequent successful surgical embolectomy. This case report underscores the importance of an expeditious clinical and radiographic evaluation in patients presenting with lower extremity pain and weakness.
摘要：
急性主动脉闭塞（AAOs）是罕见的血管紧急情况，具有高发病率和死亡率。表现出的体征和症状各不相同，但通常涉及下肢，包括斑驳的皮肤，踏板脉搏减少，麻痹,和剧烈的疼痛。及时的识别和成像是必要的，以防止快速恶化，会导致肢体丧失或死亡.治疗包括基于患者相关风险因素和凝块位置的手术或血管内介入。我们介绍了一名76岁的女性，她带着AAO到达急诊科，涉及肾下腹主动脉和双侧髂总动脉。通过对腹部和骨盆进行血管造影，进行有效的体格检查和利用计算机断层扫描，可以适当地识别AAO，并随后成功进行手术取栓。此病例报告强调了对下肢疼痛和虚弱患者进行快速临床和影像学评估的重要性。
