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Updated: May 3, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
A case of abdominal aortic aneurysm presenting with multiple organs embolization
Shinichi Tanaka1, Takahiro Ohmine2, Takashi Maeda2
1Department of Surgery, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Sendamachi, Naka-Ku, Hiroshima City, 730-8619, Japan. fjhkn396@yahoo.co.jp.
Background:
Distal embolization as the first manifestation of an abdominal aortic aneurysm (AAA) is relatively rare. AAAs presenting with multiple organs embolization are rarer and serious systemic conditions. There are no reports of life-saving outcomes in patients with AAAs presenting with multiple organs embolization prior to surgery.
Case Presentation:
A 78-year-old man presented with right acute lower limb ischemia (ALLI) and ischemic enteritis coexisting with an 83-mm AAA with a large mural thrombus. Although the patient underwent successful revascularization with endovascular treatment for right ALLI, the manifestation of ischemia of the calf muscles and infection forced right above-knee amputation. The patient also presented with ischemic colitis that resolved with conservative treatment. After receiving appropriate medical therapy and rehabilitation, the patient was successfully treated with open aortic repair for the AAA.
Conclusion:
We successfully performed open aortic surgery for a rare case of AAA presenting with multiple organs embolization.
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