Total abdominal aortic occlusion and its surgical management: A case report

• Main Authors: abbas Rabani, seyed rasoul Mir-Sharifi
• Format: Article
• Language: fas
• Published: Lorestan University of Medical Science 2007-01-01
• Series: Yafteh
• Subjects: Total abdominal aortic occlusion; intermittent claudication; Aortofemoral bypass
• Online Access: http://yafte.lums.ac.ir/browse.php?a_code=A-10-1-335&slc_lang=en&sid=1

Background: Total abdominal aortic occlusion starts with intermittent claudication of the lower limbs and if not treated ends up with rest pain, ischemic ulcers and finally culminates in gangrene of the limb. Important risk factors include tobacco consumption, elevated triglycerides, cholesterol, diabetes mellitus and hypertension. The disease is diagnosed by history and clinical examination, and in order to arrive at a final diagnosis and evolve a treatment strategy, color Doppler, MRA and CT angiography are utilized. Case report: A 62 years old farmer presented with a limping gait affecting both limbs, pain in toes and loss of libido of 6 months duration. Conclusion: The treatment modality for this particular case was aortobifemoral bypass utilizing bifurcated Dacron.