Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 1998 , Vol 7 , Issue 3
SURGICAL TREATMENT OF ACUTE AORTIC OCCLUSIONS
Kamil Göl1, Zafer İşcan1, Arzum Kale1, Murat Bayazıt1, Oguz Taşdemir1, Kemal Bayazıt1
1Türkiye Yüksek İhtisas Hastanesi Kalp ve Damar Cerrahisi Kliniği, Ankara Nineteen patients, whose mean age was 51.6±15.9 (21-86), were operated in our clinic between the years 1986-1998 beca­ use of acute aortic occlusion and bilateral retrograde femoral embolectomies were performed. ) patients were females. Two groups of patients were identified; 6 cases were classified as acute thrombosis nad 13 cases were classified as embolic cases. The main complaint was pa raplegia in 7 patients at admittance. Atrial fibrilation was present in 10 of 13 patients of the embo­ lic group. Five patients (26 %) died in the early postoperative period. Mean ischemic period of lower limbs was 11 .6±3.4 ho­ urs (4-24) in mortal cases, while this figure was 8.4±0.8 hours (4-14) i n the remaining cases (p=0.10). Two cases were reope­ rated in the late postoperative period, at 4th and 14th months due to reccurent embolies.

As a conclusion; these cases who are apt to waste time before admitted to the vascular surgery clinics due to the symptoms, usually misdiagnosed as an entity that is related to neurologic pathology, should be treated promptly when diagnosed with bi­ lateral femoral retrograde embolectomy, which really can be life saving in many cases. Anatomic or extra-anatomic bypasses may be needed in patients who have signif icant atherosclerotic lesions in their abdominal aorta to prevent the dramatic out­ come of reccurent thrombosis. Anticoagulation can prevent late reccurences. Keywords : Aortic occlusion, acute - Lower limb paralysis