CC BY 4.0 · Aorta (Stamford) 2017; 05(03): 91-95
DOI: 10.12945/j.aorta.2017.16.045
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Bilateral Lower Extremity Paralysis Secondary to Acute Thrombosis of an Infrarenal Abdominal Aortic Aneurysm

T. Joseph Watson
1   Department of General Surgery, Pinnacle Health System, Harrisburg, Pennsylvania, USA
,
W. Kurtis Childers
1   Department of General Surgery, Pinnacle Health System, Harrisburg, Pennsylvania, USA
,
Lindsey Haga
1   Department of General Surgery, Pinnacle Health System, Harrisburg, Pennsylvania, USA
,
John Calaitges
2   Department of Vascular Surgery, Holy Spirit Hospital System – Geisinger Affiliate, Harrisburg, Pennsylvania, USA
› Author Affiliations
Further Information

Publication History

14 July 2016

12 March 2017

Publication Date:
24 September 2018 (online)

Abstract

We present the case of a 64-year-old male who presented to the emergency department with bilateral limb ischemia and paralysis for approximately 1 hour. Computed tomographic angiography demonstrated occlusion of the infrarenal aorta beginning just above the patient’s known abdominal aortic aneurysm (AAA) and extending into both common iliac arteries. He was emergently treated via open repair of the AAA with a Gore-Tex tube graft, bilateral common iliac thrombectomies, and bilateral lower extremity four-compartment fasciotomies. Post-operatively, he had monophasic signals in both posterior tibial arteries, neither of which was present before the operation. During recovery, he developed an ileus but otherwise did not have complications. He was discharged to rehabilitation on post-operative day 15.

 
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