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At least 469 records · Page 26Linked to original sources
PubMed1977

[Dissecting hematomas of the infra-renal abdominal aorta].

A dissecting haematoma of the infra-renal abdominal aorta is the rarest form of dissection involving this arterial segment. On the basis of seventeen cases published in the literature, together with three personal cases, the authors review the clinical signs (fusiform ectasia, arteriosclerotic form with aortic obliteration, painful form with fissuring) and the radiological characteristics. A successful result was obtained in six patients out of seven undergoing operation with prosthetic replacement, which would thus appear to be the appropriate surgical technique.

Aged↗
PubMed1988

Response of the cubital vein to occlusion and calcification of the abdominal aorta in patients with chronic renal failure on maintenance hemodialysis.

Dysfunction of vascular endothelial cells and accelerated calcification of the abdominal aorta were found in patients on maintenance hemodialysis. Indicators of vascular wall function, expressed as the amount of plasminogen activator and von Willebrand factor released during venous occlusion, suggested that the cubital venous wall in patients has normo- or hyper-responsiveness to occlusion. Calcification of the abdominal aorta on CT scan image was observed in most of patients including those of the ages of twenties years. The mean aortic calcification index (ACI), as an indicator of organic changes in vascular wall, was significantly higher in dialysis patients than in the nondialysis subjects. However, the mean values of indicators for vascular wall function decreased and ACI increased, as the period of treatment with hemodialysis became longer. A significant negative correlation was found between the mean ACI and most indicators of vascular wall function. The function of cubital vein was suggested to decrease in association with the progress in mural calcification of the abdominal aorta. We conclude that the alteration of the coagulation-fibrinolysis system induced by repeated hemodialysis may result from and continue to exacerbate endothelial damage, the consequence of which may be atherosclerosis.

Adult↗
PubMed1976

[Surgical treatment of occlusive diseases of visceral branches of the abdominal aorta].

Sixty two patients having chronic circulatory disorders in visceral branches of the abdominal aorta were operated upon by the authors. An adequate circulation was restored as a result of reconstructive (44), conventionally reconstructive (14) and palliative (4) operations. A number of technics considerably facilitating these complicated reconstructive procedures are described: transaortic endarterectomy from the abdominal aorta, visceral branches and renal arteries: resection of the thoracoabdominal aorta followed by a plastic reconstruction of the celiac trunk ostium and others. In 47 patients (90.3%) a clinical effect was gained: the signs of ischemia of the digestive organs have disappeared.

Adolescent↗
PubMed2005

[Hypoplasia of the descending thoracic and abdominal aorta in Williams-Beuren syndrome].

Hypoplasia of the descending thoracic and abdominal aorta is a very rare condition and its etiology is poorly understood. Associations with congenital and acquired disorders have been reported. In this article we present the case of a 24-year-old woman with hypoplasia of the thoracic and abdominal aorta and Williams-Beurensyndrome. This rare syndrome is attributed to deletions of genes on chromosome 7, among other the elastin-gene, and is characterized by cardiovascular anomalies, dysmorph facial features and mental retardation. The patient presented with a history of severe hypertension and recurrent abdominal pain since childhood. Diagnosis was established by duplex-sonography and magnetic resonance angiography. The patient was treated by an aortoaortic bypass from the ascending to the infrarenal aorta with reinsertion of the visceral and the right renal arteries. It is essential to recognize the condition early to withhold high morbidity and mortality resulting from long standing severe hypertension.

Abdominal Pain↗
PubMed1987

Prospective study of velocity waveforms in the fetal descending thoracic and abdominal aorta in fetuses appropriate for gestational age and in growth-retarded fetuses.

Blood velocity waveforms were obtained by a combination of real-time B mode and pulsed Doppler (2 MHz) ultrasound from the fetal descending thoracic and abdominal aorta. In a prospective study 36 patients were studied. Throughout pregnancy 261 tracings of the thoracic aorta and 241 tracings of the abdominal aorta were evaluable for this study. Measurements were performed every 2nd week from a menstrual age of 18 weeks onwards till the 40th week. Reference values for the resistance index (RI), AB ratio and the pulsatility index (PI) were established in 27 patients with uncomplicated pregnancies. Abnormal waveforms were found in the small for gestational age (SGA) group, which consisted of 8 patients. A comparison was made between the 2 sample means of the PI in the abdominal and descending thoracic aorta in the group with appropriate for gestational (AGA) fetuses, as well as between the AGA and SGA groups. With regard to the 95% confidence interval significance is shown between the mean PI in the descending thoracic and abdominal aorta, as well as between the AGA and SGA groups. However, blood velocity measurements of the fetal aorta do not provide additional clinical information compared with measurements of the fetal aorta do not provide additional clinical information compared with measurements in the umbilical artery.

Adult↗
PubMedDate not supplied

Flow pattern analysis in the abdominal aorta with velocity-encoded cine MR imaging.

The sites of deposition of atherosclerotic plaque on the aortic wall are considered to be influenced by secondary and retrograde flow patterns that cause regions of altered shear stress. To detect secondary flow patterns and areas of retrograde flow in the abdominal aorta, velocity-encoded cine (VEC) magnetic resonance (MR) imaging was performed at five different levels of the abdominal aorta in nine healthy volunteers. Net retrograde flow (expressed as a percentage of antegrade flow) increased from proximal to distal levels and was maximal (13.8% +/- 11.8) just distal to the origin of the renal arteries. An increase in the duration of retrograde flow over the cardiac cycle was observed from proximal to distal levels. Whereas retrograde flow was present at end systole and early diastole in each volunteer at every level, the duration and amount of retrograde flow during diastole showed high interindividual variation. Such differences suggest the possibility of variable vascular geometric risk factors in the population for the development of atherosclerotic plaque. The location of retrograde flow in the abdominal aorta demonstrated in vivo with VEC MR imaging was close to that obtained with in vitro flow visualization studies in models of the abdominal aorta.

Adult↗
PubMed1981

[Late results of reconstructive operations on the abdominal aorta and iliac arteries].

The authors conducted 170 various reconstructive operations on the abdominal aorta and iliac arteries in patients with atherosclerotic lesions in this segment. The late results of surgical treatment were studied in 135 patients in follow-up periods of one to 15 years. In 92 (68.1%) patients the lower extremity was preserved for a lengthy period of time and functioned satisfactorily. The results of bifurcation shunts were better than those of unilateral shunting and endarterectomy. The authors' experience allows the conclusion that the use of Soviet-made vascular prostheses in reconstructive operations on the abdominal aorta and iliac vessels and iliac vessels is fully justified.

Aorta, Abdominal↗
PubMed1963

PROTECTION OF RENAL FUNCTION DURING SURGERY OF THE ABDOMINAL AORTA.

The operative and postoperative urinary output of 55 patients who underwent surgery for ruptured abdominal aortic aneurysms, unruptured abdominal aortic aneurysms, and aorto-iliac occlusive disease was recorded. There were five cases of postoperative anuria among 28 patients who received no free fluid in the immediate preoperative period. No case of anuria occurred in 27 patients who received either: (1) a water load of 5% dextrose in water or (2) 20% mannitol solution. The patients who received mannitol had a markedly greater operative and postoperative urinary output.Intravenous infusion of mannitol is recommended during the preoperative and operative period in patients with ruptured aneurysms of the abdominal aorta.

Abdomen↗
PubMed1994

Concentration of copper, zinc, chromium, iron and nickel in the abdominal aorta of patients deceased with coronary heart disease.

The Cu, Zn, Cr, Fe, and Ni concentrations from the atherosclerotic plaques in the abdominal aorta obtained from 40 patients who died of coronary heart disease (CHD) were measured. In 32 of them the clinical and anatomical diagnosis was ischemic heart disease (IHD) and in 8 of them it was acute myocardial infarction (AMI). Concomitant determinations of the concentrations of the above trace elements were determined in 16 normal aortas from subjects who died in accidents or from causes other than atherosclerosis (C). The determinations were done by means of a Perkin-Elmer atomic absorption spectrophotometer, Model 300. The results are expressed in mg/kg of dried tissue. The Cu, Zn, and Cr concentrations were significantly lower (p < 0.01) in the atherosclerotic plaques of abdominal aorta of the deceased patients with IHD and AMI than in the control group. Iron had the tendency to rise but not significantly. The nickel level in the atherosclerotic plaques from abdominal aorta did not change significantly as compared to the controls. We attribute the low values of copper in the atherosclerotic aortic tissue in IHD and AMI to a shift of copper from aortic tissue into the blood. At present, there is no explanation for the low concentration of zinc and chromium in atherosclerotic aortic tissue.

Adult↗
PubMed1992

[A case of complete recanalization in the lower abdominal aorta by intraaortic infusion of a thrombolytic agent].

Intraarterial infusion of thrombolytic agent is useful in the treatment of obstructive arterial diseases in various vessels. However, few studies have shown that this treatment is useful for aortic occlusion. We report the case with complete recanalization in the lower abdominal aorta following intraaortic infusion of a thrombolytic agent. A 59-year-old man was admitted because of weakness and pain in the bilateral lower limbs at rest. Aortography showed complete occlusion of the abdominal aorta proximal to the inferior mesenteric artery. Both external arteries were supplied via rich collaterals. He was treated by intraaortic urokinase infusion of 2,100,000 units. Total recanalization in the abdominal aorta and both common iliac arteries was obtained. Intraaortic infusion of urokinase was shown to be effective treatment of occlusion in the abdominal aorta.

Aorta, Abdominal↗
PubMed1994

Pulsatile velocity measurements in a model of the human abdominal aorta under resting conditions.

Oscillations in near-wall velocity direction have been found to correlate with atherosclerotic plaque localization in the carotid sinus bifurcation. However, it remains unproven whether these conditions could account for the localization of the disease at other sites where atherosclerosis forms. The abdominal aorta is an important site of clinical disease in a relatively straight segment of artery. This study was initiated to quantify the velocity field in the abdominal aorta in order to determine if local differences in hemodynamic velocity directions could account for the localization of disease in this segment. Magnetic Resonance Imaging velocimetry was used to measure the pulsatile velocity profiles in an anatomically accurate in vitro model of the abdominal aorta. Velocities measured in the suprarenal aorta were laminar and reversed minimally, comparing well with theoretical solutions of Womersley flow (r = 0.96). The time-averaged velocity was +3.0 cm/s near-wall at a distance of 1 mm away from the wall. In the infrarenal aorta, the maximal velocities were skewed toward the anterior wall. At the posterior wall, velocity oscillated in direction and was retrograde for 82 percent of the cardiac cycle. The time-averaged velocity near the posterior wall was -12.5 cm/s as compared to +3.00 cm/s near the anterior wall. At the aortic bifurcation, the locations of maximal and minimal velocities in this slice were concentrated near the lateral posterior walls. This study quantifies the magnitude of low and oscillatory velocity that may exist in the abdominal aorta and suggests that there is a strong relationship between the velocities in the retrograde direction under resting conditions and the distribution of atherosclerotic plaque.

Aorta, Abdominal↗
PubMed1978

The complementary role of sonography and arteriography in the evaluation of the atheromatous abdominal aorta.

Sonography was performed on 41 patients, 24 of whom were suspected of having abdominal aortic aneurysms and 17 of whom had symptomatic peripheral vascular disease. The accuracy of sonography in the diagnosis of aneurysms of the abdominal aorta was evaluated, and the instances in which angioggraphy contributed to the management of these patients was defined. Sonography is adequate for the diagnosis and management of many aneurysms of the abdominal aorta. Aortography is necessary when: (1) an inadequate study has been obtained, (2) the iliac arteries are not visualized, (3) renal or mesenteric artery involvement is suspected, (4) multiple or lobulated aneurysms are found, or (5) the aorta is very tortuous.

Aneurysm↗
PubMed1990

A centrifugal pump for graft replacement of the descending thoracic or thoraco-abdominal aorta.

Between January 1987, and December 1988, 14 cases of descending thoracic or thoraco-abdominal aortic aneurysm underwent operation using a prosthetic graft replacement. In order to avoid hypoperfusion to distal organs and proximal hypertension during aortic cross-clamping, two different adjuncts were used and the effectiveness of those methods were compared according to the results of surgery. Seven patients were treated with a temporary shunt of heparin-bonded tube from the left axillary artery to left femoral artery, or else Dacron vascular prosthesis from right axillary artery to right femoral artery (Group I). In Group II (seven patients), left heart bypass was performed, using a centrifugal pump from the left atrium to the left femoral artery with minimal heparinization. In Group I, there were two hospital deaths, due to respiratory and hepatic failure respectively, and paraplegia has occurred in one case. In Group II, there was no death during a post-operative observation period of 5-15 months, and there was no case of paraplegia. We think that temporary left heart bypass with a centrifugal pump seems to be the most useful method today for graft replacement of the descending thoracic or thoraco-abdominal aorta.

Adult↗
PubMed1994

[Post-traumatic false aneurysm of the suprarenal abdominal aorta. Original surgical technique].

Post-traumatic abdominal aorta false aneurysm is rare, especially in the supra-renal segment. We present the case of a patient which severe respiratory failure who could not be sterno-phreno-laparotomized: we propose an original operative technique of exclusion of the false aneurysm by a limited incision preserving the diaphragm, with circulatory arrest and profound hypothermia, without aortic clamping, under cardiopulmonary bypass. We discuss the other surgical possibilities and propose our technique for special indications.

Abdominal Injuries↗