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[The small aorta syndrome].

D Velimirović1, S Anojcić, M Djordjević

  • 1Institute for Cardiovascular Diseases, University Clinical Centre, Belgrade.

Srpski Arhiv Za Celokupno Lekarstvo
|May 1, 1990
PubMed
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Small Aorta Syndrome (SAS) affects 18% of females with aortoiliac occlusive disease. This condition, characterized by narrowed arteries, requires surgical intervention, with bypass procedures showing a high success rate.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Cardiovascular Disease

Background:

  • Aortoiliac occlusive disease (AIOD) affects arterial supply to the lower limbs.
  • Small Aorta Syndrome (SAS) is a less understood variant of AIOD.
  • Retrospective analysis of angiograms is crucial for diagnosing vascular conditions.

Purpose of the Study:

  • To determine the incidence and characteristics of SAS in patients with AIOD.
  • To evaluate the clinical presentation and risk factors associated with SAS in females.
  • To assess the outcomes of surgical interventions for SAS.

Main Methods:

  • Retrospective analysis of 956 patient angiograms for AIOD.
  • Identification of SAS cases based on De Laurentis classification criteria.

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  • Comparison of angiographic dimensions with operative findings.
  • Review of clinical signs, risk factors, and surgical outcomes.

    • Main Results:

    • SAS was identified in 9 female patients (18% of females with AIOD), with a mean age of 41.1 years.
    • Common symptoms included claudication (8 pts) and digital gangrene (1 pt).
    • Key risk factors were cigarette smoking (100%), hypertension (33%), obesity (25%), and hyperlipidemia (20%).
    • Mean aortoiliac dimensions in SAS patients were significantly reduced.
    • Eight patients underwent bypass surgery, with a 75% success rate (7/8) at 12.3 months follow-up.

    Conclusions:

    • Small Aorta Syndrome presents a distinct challenge in female patients with AIOD.
    • Early diagnosis and surgical management, particularly bypass grafting, can yield favorable outcomes.
    • Further research into the etiology and optimal management of SAS is warranted.