Abstract
We report the case of a patient who underwent treatment for a macroembolism in the right lower leg, which led to shaggy aorta syndrome. Anticoagulant therapy for the macroembolism and intra-aortic catheterization exacerbated the patient’s renal function and triggered another massive microembolization of the visceral arteries, with a fatal outcome. To minimize the incremental complications inherent to this syndrome, awareness and prompt diagnosis with enhanced computed tomography or intravenous digital subtraction aortography are essential. Axillo-bifemoral bypass with bilateral external iliac artery ligations, performed with optimal timing, could save patients with shaggy aorta syndrome.
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Hayashida, N., Murayama, H., Pearce, Y. et al. Shaggy Aorta Syndrome After Acute Arterial Macroembolism: Report of a Case. Surg Today 34, 354–356 (2004). https://doi.org/10.1007/s00595-003-2694-0
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DOI: https://doi.org/10.1007/s00595-003-2694-0