alexa Endovascular Treatment of Acute Abdominal Aortic Thrombosis after Cisplatin-Based Chemotherapy | OMICS International
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
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Case Report

Endovascular Treatment of Acute Abdominal Aortic Thrombosis after Cisplatin-Based Chemotherapy

Haruhiko Akagi1*, Hiroshi Irie1, Yoshihisa Nakao1, Mitsunori Kaneko1, Kei Sakai1 and Shoji Sakaguchi2

1Department of cardiovascular surgery, Yao Tokushukai General Hospital, Japan

2Department of radiology, Matsubara Tokushukai Hospital, Japan

*Corresponding Author:
Haruhiko Akagi
Department of Cardiovascular Surgery
Yao Tokushukai General Hospital, 1-17
Wakakusacho, Yao-shi, Osaka, 581-0011, Japan
Tel: +81-072-993-8501
Fax: +81-072-993-8567
E-mail: [email protected]

Received Date: July 27, 2013; Accepted Date: August 08, 2013; Published Date: August 10, 2013

Citation: Akagi H, Irie H, Nakao Y, Kaneko M, Sakai K, et al. (2013) Endovascular Treatment of Acute Abdominal Aortic Thrombosis after Cisplatin-Based Chemotherapy. J Vasc Med Surg 1:111. doi: 10.4172/2329-6925.1000111

Copyright: © 2013 Akagi H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 75-year-old male received preoperative cisplatin-based adjuvant chemotherapy for advanced gastric cancer. Three days after administration of cysplatin, the patient presented severe abdominal pain and calf claudication. A multi detector computed tomography (MDCT) revealed a floating mass in the infrarenal abdominal aorta. Considering the underlying malignant disease and subsequent laparotomy, we adopted endovascular treatment as a less invasive treatment: Fogarty thrombectomy followed by stent graft exclusion. Although cisplatin-based chemotherapy is known to be a high risk thromboembolic event, acute thrombosis of the aorta is exceedingly rare and its standard therapeutic management is not well established. We believe this procedure will prove to be a reliable less invasive treatment for this entity in cases of high-risk, such as with cancer patients.

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