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Case Reports in Surgery
Volume 2014 (2014), Article ID 348064, 4 pages
http://dx.doi.org/10.1155/2014/348064
Case Report

Acute Ascending Thrombosis of Abdominal and Suprarenal Aorta

Division of Vascular and Endovascular Surgery, Imperia Public Hospital, Via Sant’Agata 57, 18100 Imperia, Italy

Received 12 August 2014; Accepted 24 September 2014; Published 7 October 2014

Academic Editor: Cheng-Yu Long

Copyright © 2014 Alessandro Robaldo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the diagnostic and successful therapeutic images of an acute occlusion of the abdominal and suprarenal aorta. This lesion is a rare but catastrophic pathology which can cause severe ischemic manifestations, depending on the site of obstruction, with high rate of mortality even after treatment. In the majority of cases it represents a surgical emergency. Although the mechanism of the thrombosis has not been delineated, the proposed etiologies include propagation of thrombus from distal artery occlusion, cardiac thromboembolism, dislodgment of a mural thrombus, or coagulation disorders. Frequent risk factors include advanced atherosclerosis combined with a low flow state because of poor cardiac performance. The management of this condition includes immediate intervention with systemic heparinization, improvement of the cardiac condition, and surgical revascularization based on the clinical and anatomical presentation. In this case the authors highlight the importance of an early detection and early intervention to enhance survival rates and reduce morbidity.