Beware: The Corona Mortis, “Crown of Death”

The Corona Mortis vessel is an anastomosis between the obturator and external iliac or inferior epigastric vasculature. It can be arterial, venous, or both. Its injury is a source of severe hemorrhage during hernia repairs, urological, gynecological, and orthopedic procedures. We present a case of a...

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Main Authors: Stephanie I. Paz, Jeffrey Y. Wang, Shan-e-Ali Haider, Richard A. Silva, Dustin Y. Yoon
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772687822001040
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author Stephanie I. Paz
Jeffrey Y. Wang
Shan-e-Ali Haider
Richard A. Silva
Dustin Y. Yoon
author_facet Stephanie I. Paz
Jeffrey Y. Wang
Shan-e-Ali Haider
Richard A. Silva
Dustin Y. Yoon
author_sort Stephanie I. Paz
collection DOAJ
description The Corona Mortis vessel is an anastomosis between the obturator and external iliac or inferior epigastric vasculature. It can be arterial, venous, or both. Its injury is a source of severe hemorrhage during hernia repairs, urological, gynecological, and orthopedic procedures. We present a case of a 53-year-old female patient with a history of peripheral arterial disease that underwent angioplasty for limb salvage that resulted in injury of the Corona Mortis variant and a subsequent persistent pelvic hemorrhage. Hemostasis of extravasation was achieved through coil embolization and patient recovered without any complications. This is the first publication in vascular surgery literature that we are aware of where an injury can result in life-threatening hemorrhage from the Corona Mortis.
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spelling doaj.art-b16efc55600a432fba951df8bf7b9a092023-07-04T05:11:59ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782022-12-0124100144Beware: The Corona Mortis, “Crown of Death”Stephanie I. Paz0Jeffrey Y. Wang1Shan-e-Ali Haider2Richard A. Silva3Dustin Y. Yoon4Horizon Vascular Specialists, Germantown, MD, United StatesHorizon Vascular Specialists, Germantown, MD, United States; Adventist Hospital, Rockville, MD, United StatesHorizon Vascular Specialists, Germantown, MD, United States; West Virginia School of Osteopathic Medicine, Lewisburg, WV, United StatesHorizon Vascular Specialists, Germantown, MD, United States; Adventist Hospital, Rockville, MD, United StatesHorizon Vascular Specialists, Germantown, MD, United States; Adventist Hospital, Rockville, MD, United States; West Virginia School of Osteopathic Medicine, Lewisburg, WV, United States; Corresponding author at: West Virginia School of Osteopathic Medicine, 20410 Observation Drive, Suite 100, Germantown, MD 20879, United StatesThe Corona Mortis vessel is an anastomosis between the obturator and external iliac or inferior epigastric vasculature. It can be arterial, venous, or both. Its injury is a source of severe hemorrhage during hernia repairs, urological, gynecological, and orthopedic procedures. We present a case of a 53-year-old female patient with a history of peripheral arterial disease that underwent angioplasty for limb salvage that resulted in injury of the Corona Mortis variant and a subsequent persistent pelvic hemorrhage. Hemostasis of extravasation was achieved through coil embolization and patient recovered without any complications. This is the first publication in vascular surgery literature that we are aware of where an injury can result in life-threatening hemorrhage from the Corona Mortis.http://www.sciencedirect.com/science/article/pii/S2772687822001040Anatomical variationsAngiogramAngioplastyCorona MortisEmbolizationHemorrhage
spellingShingle Stephanie I. Paz
Jeffrey Y. Wang
Shan-e-Ali Haider
Richard A. Silva
Dustin Y. Yoon
Beware: The Corona Mortis, “Crown of Death”
Annals of Vascular Surgery - Brief Reports and Innovations
Anatomical variations
Angiogram
Angioplasty
Corona Mortis
Embolization
Hemorrhage
title Beware: The Corona Mortis, “Crown of Death”
title_full Beware: The Corona Mortis, “Crown of Death”
title_fullStr Beware: The Corona Mortis, “Crown of Death”
title_full_unstemmed Beware: The Corona Mortis, “Crown of Death”
title_short Beware: The Corona Mortis, “Crown of Death”
title_sort beware the corona mortis crown of death
topic Anatomical variations
Angiogram
Angioplasty
Corona Mortis
Embolization
Hemorrhage
url http://www.sciencedirect.com/science/article/pii/S2772687822001040
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AT dustinyyoon bewarethecoronamortiscrownofdeath