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Vascular and Endovascular Surgery
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Reviews

Acute Thrombosis of Abdominal Aortic Aneurysms

Report of Two Cases and Review of the Literature

Ahmed S. Suliman, BA, MA

Boston University School of Medicine, Boston Medical Center, Boston, MA

Joseph Raffetto, BA, MA

Craig S. Seidman, BA, MA

James O. Menzoian, BA, MA

Department of Surgery, Boston Medical Center, Boston, MA; Department of Vascular Surgery, Boston Medical Center, Boston, MA

An acutely thrombosed abdominal aortic aneurysm (AAA) is a rare but devastating complication of aortic aneurysms. Incidence in reported series is approximately 0.7-2.8% of surgically managed AAA cases with an associated mortality rate of 50%. To date there have been only 46 cases of acutely occluded AAAs reported in the literature. We present our experience of 2 additional cases of acute AAA thrombosis and discuss the mechanism of thrombosis and management. The size of the aneurysm seems to be a better predictor of rupture than of thrombosis. Strong risk factors for thrombosis are the presence of concomitant iliac artery and cardiac disease. Although this complication is rare, its high mortality rate makes it an important disease to understand, recognize, diagnose, and treat for a successful outcome.

Vascular and Endovascular Surgery, Vol. 37, No. 1, 71-75 (2003)
DOI: 10.1177/153857440303700110
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This article has been cited by other articles:


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