Case report
Acute limb ischemia
Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy

Presented at the 2020 Midwestern Vascular Surgical Society meeting, Minneapolis, Minn, September 10-12, 2020.
https://doi.org/10.1016/j.jvscit.2021.05.003Get rights and content
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Abstract

Aortic thrombus with multilevel acute ischemia is rare. We report the use of vacuum-assisted thrombectomy of an aortic mural thrombus with superior mesenteric artery involvement causing bilateral lower extremity ischemia and acute mesenteric ischemia, in conjunction with embolectomy and fasciotomy. We describe the novel use of the AngioVac device (AngioDynamics, Latham, NY) for reperfusion in the systemic arterial circulation. This case report demonstrates a feasible and less invasive alternative to the management of aortic thrombi with acute ischemia in patients unfit for open aortic thrombectomy of the visceral segment aorta.

Keywords

Thrombectomy
Embolectomy
Aortic thrombus
Mesenteric ischemia
Limb ischemia

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Author conflict of interest: none.

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