Cargando…
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...
Autores principales: | , , , , , , |
---|---|
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 |
_version_ | 1785023598663041024 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10093490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT caraiolasimona chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT voiculaura chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT casudragos chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT armasoiuelena chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT cobilinschiclaudiaoana chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT mihaiemilian chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome AT ionescurazvanadrian chroniccompletedistalaorticocclusionandpulmonaryembolismatypicalantiphospholipidsyndrome |