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• W2069759861 abstract "Introduction connective tissue disorder. At physical examination femoral and distal pulses were absent bilaterally. No The infrarenal abdominal aorta and aorto-iliac biabdominal bruits were audible. furcation are among the most common sites of chronic obliterative atherosclerosis. Occlusive disease usually occurs at the orifice of the renal and splanchnic Diagnostic assessment branches. Localized obstructive disease of suprarenal aorta is exceedingly rare and few cases have been On Doppler examination the segmental pressures reported. From literature review we individuate 23 showed a consistent decrease in the upper thigh bicases. The intraoperative findings consist of an irlaterally. Ankle-brachial index was in the right and regular, calcified atheromatous mass, occupying most left side 0.6. Aortic duplex scan showed a heavily of the aortic lumen, strongly resembling a ‘coral reef’. calcified thrombus reducing the aortic lumen and proPatients are commonly young females and heavy ducing a trans-stenotic pressure gradient. smokers. Usual symptoms are severe hypertension, Aortography demonstrated a very unusual apsplanchnic, renal or leg ischaemia. pearance of a calcified, asymmetric lesion in the proxWe report the case of a young smoker female with imal abdominal aorta from the diaphragm to the origin history of claudication and severe hypertension with of the renal vessels. This lesion involved the visceral a calcified atheromatous plaque of suprarenal aorta. and renal arteries’ orifices, although these vessels were uniformely opacized. The infrarenal aortoiliac arteries were patent but showed slight atherosclerotic changes. Case Report Bioumoral test did not show any abnormal modification of calcium/phosphorus metabolism. A 50-year-old woman was admitted to our institution with a 1 year history of lower extremity pain limiting her walking distance to 500 m. Severe hypertension refractory to medical management had been detected Operative management 8 months previously. For 20 years she had been medically treated for hyperlipidemia. There was no history The patient underwent transaortic thromboof oral contraceptive use, premature menopause or endarterectomy. A transabdominal approach with medial visceral rotation and division of the left crus of the diaphragm was performed with exposure of the ∗ Correspondence to: Dr Raffaele Pulli, Cattedra di Chirurgia abdominal aorta and its branches. Aortotomy incision Vascolare, Universita degli Sudi di Firenze, Aziende Ospedaliera Careggi, Viale Morgagni 85, 50134 Firenze, Italy. for ‘trap door’ endarterectomy of the aorta was carried" @default.
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• W2069759861 date "2001-06-01" @default.
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• W2069759861 title "«Coral Reef» Atherosclerosis of Suprarenal Aorta: Case Report and Literatuve Review" @default.
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• W2069759861 doi "https://doi.org/10.1053/ejvx.2001.0059" @default.
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