[Ulcerated plaque in the terminal aorta as a source of recurrent embolism in the young patient]

In the last years, some case reports about peripheral arterial embolism originated from ulcerative disorders in the wall of aorta and main vascular structures, have been published. Patients affected by this disease are usually aged and arteriosclerotic injuries at divers levels are common. The current case report presents a patient, 37 years old, with a history of 3 surgical procedures because of recurrent arterial embolism in the left femoro-popliteal area with unknown embolic origin. Further, a complete angiographic exploration was realized because a new occlusion in the left ileo-femoral area occurred and suspicious images of an ulcerative atheroma plaque in final aorta were found. This conjecture was confirmed during surgical procedure. It should be noted that some histories of peripheral embolism, with unknown origin, in young patients could be caused by this type of disorders.