Abstract
Acute thrombosis of an abdominal aortic aneurysm is a rare but devastating surgical emergency. We present the first case of a patient with sudden thrombosis of an AAA delayed (more than 24 h) after removal of an intra-aortic balloon pump. Treatment options include open surgical repair, axillobifemoral grafting or endovascular aortic repair. The patient received an aorto-bifemoral graft. The associations between intra-aortic balloon pump counter-pulsation and abdominal aortic thrombosis are discussed.
Highlights
Thrombosis of an abdominal aortic aneurysm (TAAA) is a rare surgical emergency
Thrombosis of the abdominal aorta associated with intra-aortic balloon counter-pulsation (IABP), is exceedingly rare
We report a case of a patient with sudden complete thrombosis of an AAA delayed after removal of an intra-aortic balloon pump
Summary
Thrombosis of an abdominal aortic aneurysm (TAAA) is a rare surgical emergency. First described in 1959 w1x, reports of TAAA in the literature are limited w2x. Successful revascularisation was described only two years after the first report w3x. Overall mortality still approximates fifty percent w2x. The use of intra-aortic balloon counter-pulsation (IABP) is frequently associated with vascular complications, either following insertion, during balloon counter-pulsation or after removal of the device w4–6x. Thrombosis of the abdominal aorta associated with IABP, is exceedingly rare. We report a case of a patient with sudden complete thrombosis of an AAA delayed (more than 24 h) after removal of an intra-aortic balloon pump
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