Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?
Complete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlus...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/7/1346 |
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| author | Simona Caraiola Laura Voicu Dragoș Cașu Elena Armășoiu Claudia Oana Cobilinschi Emilian Mihai Răzvan Adrian Ionescu |
| author_facet | Simona Caraiola Laura Voicu Dragoș Cașu Elena Armășoiu Claudia Oana Cobilinschi Emilian Mihai Răzvan Adrian Ionescu |
| author_sort | Simona Caraiola |
| collection | DOAJ |
| description | Complete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlusion, associated pulmonary embolism and positive antiphospholipid antibodies. The patient had an obstetric history suggestive of antiphospholipid syndrome (APS). She presented with typical intermittent claudication symptoms persisting for approximately five years at the time of admission. Arteriography revealed complete infrarenal aortic occlusion and the presence of collateral arteries. Aortoiliac bypass surgery was performed. This case emphasizes an unusual, yet possible, etiology of chronic aortic occlusion—most probably, combining atherosclerosis and chronic thrombosis—in a relatively young patient, in which the diagnosis was significantly delayed due to the peculiar association of traits. |
| first_indexed | 2024-03-11T05:40:15Z |
| format | Article |
| id | doaj.art-d7dabffc17424751acb37971157d97f1 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T05:40:15Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-d7dabffc17424751acb37971157d97f12023-11-17T16:31:19ZengMDPI AGDiagnostics2075-44182023-04-01137134610.3390/diagnostics13071346Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome?Simona Caraiola0Laura Voicu1Dragoș Cașu2Elena Armășoiu3Claudia Oana Cobilinschi4Emilian Mihai5Răzvan Adrian Ionescu6Third Internal Medicine Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaThird Internal Medicine Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaThird Internal Medicine Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaThird Internal Medicine Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaFifth Department-Internal Medicine (Cardiology, Gastroenterology, Hepatology, Rheumatology, Geriatrics), Family Medicine, Occupational Medicine, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaCardiology Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaThird Internal Medicine Department, Colentina Clinical Hospital, 020125 Bucharest, RomaniaComplete aortic occlusion is a rare pathology with various possible etiologies. According to current data, it is most frequently caused by atherosclerosis. However, thrombosis or vasculitis could also be involved. We present the case of a 42-year-old female with chronic complete distal aortic occlusion, associated pulmonary embolism and positive antiphospholipid antibodies. The patient had an obstetric history suggestive of antiphospholipid syndrome (APS). She presented with typical intermittent claudication symptoms persisting for approximately five years at the time of admission. Arteriography revealed complete infrarenal aortic occlusion and the presence of collateral arteries. Aortoiliac bypass surgery was performed. This case emphasizes an unusual, yet possible, etiology of chronic aortic occlusion—most probably, combining atherosclerosis and chronic thrombosis—in a relatively young patient, in which the diagnosis was significantly delayed due to the peculiar association of traits.https://www.mdpi.com/2075-4418/13/7/1346aortic occlusionpulmonary embolismantiphospholipid syndromeatherosclerosisthrombosis |
| spellingShingle | Simona Caraiola Laura Voicu Dragoș Cașu Elena Armășoiu Claudia Oana Cobilinschi Emilian Mihai Răzvan Adrian Ionescu Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? Diagnostics aortic occlusion pulmonary embolism antiphospholipid syndrome atherosclerosis thrombosis |
| title | Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? |
| title_full | Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? |
| title_fullStr | Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? |
| title_full_unstemmed | Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? |
| title_short | Chronic Complete Distal Aortic Occlusion and Pulmonary Embolism—Atypical Antiphospholipid Syndrome? |
| title_sort | chronic complete distal aortic occlusion and pulmonary embolism atypical antiphospholipid syndrome |
| topic | aortic occlusion pulmonary embolism antiphospholipid syndrome atherosclerosis thrombosis |
| url | https://www.mdpi.com/2075-4418/13/7/1346 |
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