2006 Volume 15 Issue 1 Pages 25-27
A 81-year-old man was admitted to our hospital because of sudden lumbago and coolness in the lower extremities. A computed tomography scan of the abdomen showed a totally thrombosed abdominal aortic aneurysm. At 8 hours after the onset of symptoms, a bifurcated graft was inserted after resection of the aneurysm and a thrombectomy. After revascularization, left hemicolectomy was performed and a colostomy was established because of an ischemic change of the descending colon. The patient died of multiple organ failure due to reperfusion syndrome on the second postoperative day. Acute thrombosis of an abdominal aortic aneurysm is rare, but mortality rates are high (>50%) because of reperfusion syndrome, myonephropathic metabolic syndrome, acute renal failure or cardiovascular deterioration. Once a diagnosis has been established, it is recommended to perform revascularization as soon as possible.
