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[Acute aortic thrombosis (author's transl)].

H Treugut, R Eisele, K Schulze

    Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    This case report details acute aortic thrombosis, likely caused by estrogen medication. Diagnosis involves aortography, revealing a filling defect and potential collateral circulation in this rare condition.

    Area of Science:

    • Vascular Surgery
    • Cardiology
    • Endocrinology

    Background:

    • Acute aortic thrombosis is a rare condition often developing on a background of advanced arteriosclerosis.
    • Potential initiating factors include intimal damage, emboli, or the thrombogenic effects of estrogen medication.

    Observation:

    • A case is described involving aortic thrombosis extending from the superior mesenteric artery to the bifurcation.
    • Clinical features include pain and absent pulses, resulting from ischemia dependent on lesion extent.

    Findings:

    • Radiological diagnosis is definitively made by aortography, potentially using oblique projections.
    • The Seldinger technique, via femoral or axillary approach, is the preferred method for aortography.
    • Aortography reveals a filling defect and may show collateral circulation.

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    Implications:

    • This case highlights the importance of considering estrogen medication as a potential cause of acute aortic thrombosis.
    • Accurate diagnosis and understanding of the underlying pathophysiology are crucial for managing this rare but serious vascular event.