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Annals of Surgery logoLink to Annals of Surgery
. 1992 May;215(5):443–450. doi: 10.1097/00000658-199205000-00006

Juxtarenal aortic occlusion.

S S Tapper 1, J M Jenkins 1, W H Edwards 1, J L Mulherin Jr 1, R S Martin 3rd 1, W H Edwards Jr 1
PMCID: PMC1242471  PMID: 1616381

Abstract

The authors' experience with 113 aortic occlusions in 103 patients during a 26-year period (1965 to 1991) is reviewed. The authors found three distinct patterns of presentation: group I (n = 26) presented with acute aortic occlusion, group II (n = 66) presented with chronic aortic occlusion, and group III (n = 21) presented with complete occlusion of an aortic graft. Perioperative mortality rates were 31%, 9%, and 4.7% for each respective group and achieved statistical significance when comparing group I with group II (p = 0.009) and group I with group III (p = 0.015). Group I presented with profound metabolic insults due to acute ischemia and fared poorly. Group II presented with chronic claudication and did well long-term. Group III presented with acute ischemia but did well because of established collateral circulation. The treatment and expected outcome of aortic occlusion depends on the cause.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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