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Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?

Complete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlus...

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Autores principales: Caraiola, Simona, Voicu, Laura, Cașu, Dragoș, Armășoiu, Elena, Cobilinschi, Claudia Oana, Mihai, Emilian, Ionescu, Răzvan Adrian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093490/
https://www.ncbi.nlm.nih.gov/pubmed/37046563
http://dx.doi.org/10.3390/diagnostics13071346
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author Caraiola, Simona
Voicu, Laura
Cașu, Dragoș
Armășoiu, Elena
Cobilinschi, Claudia Oana
Mihai, Emilian
Ionescu, Răzvan Adrian
author_facet Caraiola, Simona
Voicu, Laura
Cașu, Dragoș
Armășoiu, Elena
Cobilinschi, Claudia Oana
Mihai, Emilian
Ionescu, Răzvan Adrian
author_sort Caraiola, Simona
collection PubMed
description Complete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlusion, associated pulmonary embolism and positive antiphospholipid antibodies. The patient had an obstetric history suggestive of antiphospholipid syndrome (APS). She presented with typical intermittent claudication symptoms persisting for approximately five years at the time of admission. Arteriography revealed complete infrarenal aortic occlusion and the presence of collateral arteries. Aortoiliac bypass surgery was performed. This case emphasizes an unusual, yet possible, etiology of chronic aortic occlusion—most probably, combining atherosclerosis and chronic thrombosis—in a relatively young patient, in which the diagnosis was significantly delayed due to the peculiar association of traits.
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spelling pubmed-100934902023-04-13 Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? Caraiola, Simona Voicu, Laura Cașu, Dragoș Armășoiu, Elena Cobilinschi, Claudia Oana Mihai, Emilian Ionescu, Răzvan Adrian Diagnostics (Basel) Interesting Images Complete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlusion, associated pulmonary embolism and positive antiphospholipid antibodies. The patient had an obstetric history suggestive of antiphospholipid syndrome (APS). She presented with typical intermittent claudication symptoms persisting for approximately five years at the time of admission. Arteriography revealed complete infrarenal aortic occlusion and the presence of collateral arteries. Aortoiliac bypass surgery was performed. This case emphasizes an unusual, yet possible, etiology of chronic aortic occlusion—most probably, combining atherosclerosis and chronic thrombosis—in a relatively young patient, in which the diagnosis was significantly delayed due to the peculiar association of traits. MDPI 2023-04-04 /pmc/articles/PMC10093490/ /pubmed/37046563 http://dx.doi.org/10.3390/diagnostics13071346 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Caraiola, Simona
Voicu, Laura
Cașu, Dragoș
Armășoiu, Elena
Cobilinschi, Claudia Oana
Mihai, Emilian
Ionescu, Răzvan Adrian
Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title_full Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title_fullStr Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title_full_unstemmed Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title_short Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
title_sort chronic complete distal aortic occlusion and pulmonary embolism—atypical antiphospholipid syndrome?
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093490/
https://www.ncbi.nlm.nih.gov/pubmed/37046563
http://dx.doi.org/10.3390/diagnostics13071346
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