Eur J Cardiothorac Surg 2003;24:451
© 2003 Elsevier Science NL
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Abdominal aortic occlusion due to aorto arteritis
Praveen K. Varma*,
Madhavi Latha,
Sathyaki Nambala Purushotham,
Kurur Sankaran Neelakandhan
Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, Kerala 695011, India
Received 18 December 2002;
received in revised form 7 May 2003;
accepted 18 May 2003.
* Corresponding author. Tel.: +91-471-244-4496/252-4473; fax: +91-471-244-6433
e-mail: pkvarma{at}sctimst.ker.nic.in
Key Words: Aorto-arteritis • Claudication • Hypertension
A 34-year-old man was evaluated for recent onset of bilateral lower limb claudication. On clinical evaluation, he was hypertensive [B.P. 220/140 on right arm] with feeble lower limb pulses. Radiofemoral delay and abdominal bruit were present. He was evaluated by aortogram which showed segmental occlusion below the level of superior mesenteric artery, with reformation through inferior mesenteric artery. At surgery, the periaortic tissue and the aortic wall were thickened. Aorto-renal end-arterectomy with patch aortoplasty and end-arterectomy of right common iliac artery were performed. The patient was discharged with B.P. of 150/100 mmHg on anti-hypertensive medications. Histo-pathology confirmed the diagnosis as Aorto-arteritis (Figs. 1 and 2
).
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Fig. 1. Ante-grade aortogram showing total occlusion of abdominal aorta below the level of superior mesenteric artery.
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Fig. 2. Reformation of aorta through the inferior mesenteric artery via collateral circulation. Right common iliac artery shows discrete stenosis.
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