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Sudden Complete Thrombosis of Aortic and Iliac Aneurysms
John M. Johnson, MD;
Max R. Gaspar, MD;
Herbert J. Movius, MD;
John J. Rosental, MD
AMA Arch Surg. 1974;108(6):792-794.
Abstract
In a consecutive series of 275 surgically treated abdominal aortic aneurysms, seven patients with acute thrombotic occlusion of an abdominal aortic or iliac aneurysm were encountered. Ten additional cases have been reported in the medical literature. The majority of the aneurysms were 7 cm in diameter or smaller. Some patients had complained of claudication before the acute event. An acute low-flow state superimposed on a stenotic atherosclerotic distal vascular bed is probably the main factor responsible for acute thrombosis within an abdominal aneurysm. The high mortality of 53% is similar to that of ruptured abdominal aortic aneurysms. The recommendation is made that all small abdominal aortic aneurysms be resected if there is substantial associated distal occlusive disease.
Author Affiliations
Long Beach, Calif
From the Department of Surgery, St. Mary's Hospital, Long Beach, Calif. Dr. Johnson is now with Maricopa County Hospital, Phoenix, Ariz.
Footnotes
Accepted for publication Feb 13, 1974.
Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 18, 1974.
Reprint requests to 1045 Atlantic Ave, Suite 1008, Long Beach, CA 90813 (Dr. Gaspar).
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