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Shaggy aorta syndrome after acute arterial macroembolism: report of a case
Naoki Hayashida1, Hirokazu Murayama, Yoko Pearce
1Department of Cardiovascular Surgery, Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, 290-0512, Chiba, Japan.
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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