Cardiopulmonary arrest caused by acute abdominal aortic thrombosis: A case report

Yoshinori Matsuoka, Makoto Hashizume

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Acute abdominal aortic thrombosis is a rare but potentially fatal condition. The patient was a 56-year-old man who developed lower back pain and arrived at our emergency room in a state of shock. He was alert, but could not move his legs. Cardiac echo revealed abnormal movement of the heart, and acute myocardial ischaemia was suspected as a differential diagnosis. Emergency coronary angiography and aortography together with percutaneous cardiopulmonary support were attempted. Both femoral arteries were punctured, but the guide wire could not be advanced from the bifurcation to the aorta. Heart stoppage occurred and life saving treatment was in effective. A large thrombus from the abdominal aorta to both common iliac arteries was observed by aortography. To reduce mortality in acute abdominal aortic thrombosis, the disease must be recognised early based on clinical symptoms, followed by immediate contrast CT and surgical management by thrombectomy or re-establishment of the blood circulation.

Original languageEnglish
JournalBMJ case reports
DOIs
Publication statusPublished - Apr 28 2009

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Heart Arrest
Aortography
Thrombosis
Aortic Diseases
Thrombectomy
Blood Circulation
Iliac Artery
Abdominal Aorta
Dyskinesias
Femoral Artery
Low Back Pain
Coronary Angiography
Myocardial Ischemia
Aorta
Hospital Emergency Service
Shock
Leg
Emergencies
Differential Diagnosis
Mortality

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Cardiopulmonary arrest caused by acute abdominal aortic thrombosis : A case report. / Matsuoka, Yoshinori; Hashizume, Makoto.

In: BMJ case reports, 28.04.2009.

Research output: Contribution to journalArticle

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