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Endoaortic calcific proliferation of the upper abdominal aorta
C Peillon1, C Morlet, J P Laissy
1Service de Chirurgie Générale et Vasculaire, Hopital Charles Nicolle, Rouen, France.
Annals of Vascular Surgery
|April 1, 1989
Summary
Coral reef atherosclerosis, a rare aortic condition, can cause severe hypertension and ischemia. Surgical intervention effectively relieved symptoms in two reported cases, highlighting its therapeutic potential.
Area of Science:
- Vascular Surgery
- Cardiovascular Pathology
Background:
- Endoaortic calcified proliferation, or coral reef atherosclerosis, is a rare condition affecting the thoracic and celiac aorta.
- It presents with a distinct gross appearance and requires specific diagnostic considerations.
Observation:
- Two cases of calcified aortic obstruction are presented.
- Case 1: Hypertension, abdominal angina, bruit, and diminished femoral pulses.
- Case 2: Postoperative intractable hypertension and renal failure after aortic aneurysm repair.
Findings:
- Doppler sonography, CT scan, and aortography enabled accurate lesion evaluation.
- Surgical treatment was necessitated by hypertension and visceral ischemia.
- Complete relief of hypertension and intestinal angina in Case 1.
- Significant improvement in hypertension and renal failure in Case 2.
Implications:
- Coral reef atherosclerosis requires prompt diagnosis and management.
- Surgical intervention can effectively resolve severe symptoms associated with this rare condition.
- Further research into the pathogenesis and long-term outcomes is warranted.