Acute Arterial Occlusive Disease caused by An Intimal Angiosarcoma
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- Suzuki Yusuke
- Department of surgery, Osaki Citizen Hospital
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- Kokaguchi Kyosuke
- Department of surgery, Osaki Citizen Hospital
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- Sakamoto Kazuhiro
- Department of diagnostic pathology, Osaki Citizen Hospital
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- Iwama Noriyuki
- Department of diagnostic pathology, Sendai Kousei Hospital
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- Sekino Yoshihito
- Department of cardiovascular surgery, Tohoku Kosai Hospital
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- Namiki Kenji
- Department of surgery, Osaki Citizen Hospital
Bibliographic Information
- Other Title
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- 胸部大動脈内膜肉腫による下肢急性動脈閉塞の1 例
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Abstract
69-year-old woman with hypertension and hyperlipidemia was referred to our hospital because of suspected acute ischemia of the right lower limb. Physical examination revealed bilateral pain and paleness of the lower limbs, paresthesia and paralysis of the right lower limb and an ulcer between the fourth toe and fifth right toe. Computed tomography (CT) showed occlusion of the right popliteal artery and an irregular lesion of the descending aorta, which was suspected to be a thoracic aortic thrombus. We performed an emergency thrombectomy because of acute arterial occlusive disease of the right lower limb. After the thrombectomy, due to recurrent emboli, we performed descending aorta replacement because of recurrent emboli despite anticoagulant therapy. The pathological diagnosis was intimal angiosarcoma of the thoracic aorta. In this case, we presumed that acute arterial occlusive disease of the lower limb was caused by an intimal angiosarcoma.
Journal
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- Japanese Journal of Vascular Surgery
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Japanese Journal of Vascular Surgery 24 (6), 921-925, 2015
JAPANESE SOCIETY FOR VASCULAR SURGERY
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Details 詳細情報について
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- CRID
- 1390001204415832704
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- NII Article ID
- 130005104304
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- ISSN
- 1881767X
- 09186778
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed