Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
A CASE OF AN ABDOMINAL AORTIC ANEURYSM DETECTED BY ATHEROEMBOLISM OF THE LOWER LIMBS (BLUE TOE SYNDROME)
Atsuo KOJIMAHirofumi KOJIMASeiji CHOFumiyoshi SAITOIwao YAMASHITASeiichi KIRIYAMA
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Keywords: blue toe syndrome
JOURNAL FREE ACCESS

2006 Volume 67 Issue 9 Pages 2022-2025

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Abstract

A 64-year-old man became abasia for the sudden onset of numbness and lumbago of the right foot. When he was admitted to the hospital, strong numbness and cyanosis were observed at the toes. We diagnosed the case as atheroembolism of the lower limbs (Blue toe syndrome), which was originating from an abdominal aortic aneurysm. A Y-grafting was performed aimed at removing the embolic source and preventing rupture on the 11th day after the onset. The postoperative course was uneventful without new thrombotic complications by careful dissection and clamping, and some devises in anastomosis and declamping. He was discharged on foot on the 15th day after the operation.

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