DISORDERS OF THE ABDOMINAL AORTA: CLINICAL OBSERVATIONS ON SURVEY OF TWO HUNDRED SEVEN CASES

Autor: Kramer, David W., Perilstein, Paul K., de Medeiros, Algy
Zdroj: JAMA: Journal of the American Medical Association; April 1958, Vol. 166 Issue: 14 p1711-1717, 7p
Abstrakt: Evidence of pathological changes in the abdominal aorta was found in 207 patients out of a series of 3,000 consecutive cases of vascular disorders. The group included 107 patients who had x-ray evidence of calcification without evidence of impaired circulation and 100 patients with both subjective and objective evidence of occlusive disease. Among the 100 there were 36 with evidence of complete occlusion of the abdominal aorta. In such patients, extensive atrophy of the muscles of the thigh was occasionally seen, but it was not frequent in this series. Intermittent claudication was a frequent complaint; impotence was rare. Since occlusion of the aorta is insidious in onset, circulatory function should be studied by means of oscillometric tracings, histamine tests, plantar ischemia observations, and determinations of venous filling time and skin temperature. Aortograms can be made when indicated. A routine soft-tissue x-ray of the abdominal aorta is recommended. The detection of early changes is desirable because even minimal areas of calcification may become foci of thrombosis.
Databáze: Supplemental Index