Severe Obstructive Calcification of the Descending Aorta: A Case Report of “Coral Reef Aorta”

An 82-year-old man suffering from lower back pain and dyspnea presented to our institute in a state of shock. Computed tomography showed subtotal occlusion of the descending aorta with massive atherosclerotic calcification. As the proximal portion of the superior mesenteric artery was obstructed, em...

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Detalles Bibliográficos
Autores principales: Ishigaki, Takahiro, Matsuda, Hitoshi, Henmi, Soichiro, Yoshida, Masato, Mukohara, Nobuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579773/
https://www.ncbi.nlm.nih.gov/pubmed/29034045
http://dx.doi.org/10.3400/avd.cr.16-00133
Descripción
Sumario:An 82-year-old man suffering from lower back pain and dyspnea presented to our institute in a state of shock. Computed tomography showed subtotal occlusion of the descending aorta with massive atherosclerotic calcification. As the proximal portion of the superior mesenteric artery was obstructed, emergency bypass from the right axillary artery to the bilateral external iliac arteries was performed, but the patient died 2 days later. Autopsy revealed that reddish-brown and verrucous masses obstructed the descending aorta, and high-grade thickening of the intima and extensive deposits of calcium in the lumina and medial layer were detected in the descending aorta histologically.

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