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- W2320565167 abstract "症例は80歳男性．ゲートボール中に両下肢脱力，疼痛が出現したため近医を受診し，経過観察された．翌日，症状が増悪し，前医を受診したところ，両側大腿動脈拍動が触知できず，下肢急性動脈閉塞が疑われ造影CTを撮影された．CTでは最大短径37 mm大の腹部大動脈瘤を認め，瘤内は完全閉塞し，側副血行路にて両側内外腸骨動脈末梢が造影されていた．腹部大動脈瘤急性血栓閉塞と診断され当院へ緊急搬送となった．来院時，下肢所見はBalas分類III度，TASC分類IIb，Rutherford分類IIbであった．腹部症状は認めず，下肢へは側副血行で血流の確認ができたため，血行再建の方針とした．術式は，認知症，高齢を考慮し非解剖学的血行再建術（右腋窩動脈-両側大腿動脈バイパス）を施行した．術後，再灌流障害を来すことなく経過し，第16病日独歩退院となった．腹部大動脈瘤急性閉塞は比較的稀な疾患である．発症時，虚血範囲が広範となるため，血行再建術後に重篤な再灌流障害を来すことが多く，予後不良の疾患である．今回，救命しえた1例を経験したので報告する．" @default.
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- W2320565167 date "2014-01-01" @default.
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- W2320565167 title "A Case of Acute Thrombosis of Abdominal Aortic Aneurysm" @default.
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