Abstract
A 47-year-old female with a 10-year history of bilateral intermittent claudication was diagnosed as having small aorta syndrome (SAS) and was successfully treated by an aorto-bifemoral bypass with aortic thrombendarterectomy. The infra-renal aorta was narrow, being 10 mm in diameter, with thrombotic occlusion of the terminal aorta and common iliac arteries. These findings were compatible with the features of SAS, however, there were few atherosclerotic changes in the abdominal wall and no evidence of any prediposing risk factors such as smoking or hyperlipidemia. computed tomography, in addition to arteriography, seemed imperative for making the preoperative diagnosis. SAS is not uncommon as an established entity in Western countries, but in Japan there have been few reports to date. The etiology, diagnosis, and management of this entity are reviewed following the presentation of this case.
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References
Greenhalgh RM (1979) Small aorta syndrome. In: Bergan JJ, Yao JST, (eds) Surgery of the aorta and its branches. New York, Grune & Stratton, pp 183–190
Jernigan WR, Fallat ME, Hatfield DR (1983) Hypoplastic aortoiliac syndrome: An entity peculiar to women. Surgery 94:752–757
DeLaurentis DA, Friedmann P, Wolferth Jr CC, Wilson A, Naide D (1978) Atherosclerosis and the hypoplastic aorto-iliac system. Surgery 83:27–37
Poskitt KR, Perkin GD, Greenhalgh RM (1985) A relationship between claudication of the cauda equina and the small aorta syndrome. J Neurol Neurosury Psychiatry 48:75–79
Iwai T, Sato S, Muraoka Y, Sakurazawa K, Konno S (1989) Selection and result of operative procedures for the aorto-iliac occlusive disease. (in Japanese) Jpn J Cardiovasc Surg 19:328–330
Quain R (1846–1848) Partial contraction of the abdominal aorta. Trans Pathol Soc London 1:244 (cited 3)
Arnot RS, Louw JH (1975) The anatomy of the posterior wall of the aorta. S Afr Med J 47:899–902
McConathy WJ, Greenhalgh RW, Alaupovic P, Woolcock NE, Laing SP, Lund V, Lee ET, Taylor GW (1984) Plasma lipid and apolipoprotein profiles of women with two types of peripheral arterial disease. Atherosclerosis 50:295–306
Lallemand RC, Brown KGE, Boulter PS (1972) Vessel dimensions in premature atheromatous disease of aortic bifurcation. Br Med J 2:255–257
Gosling RG, Newman DL, Bowden NLR, Twinn KW (1971) The area ratio of normal aortic junctions. Br J Radiol 44:850–853
Cronenwett JL, Davis Jr JT, Gooch JB, Garrett HE (1980) Aorto-iliac occlusive disease in women. Surgery 88:775–784
Burke Jr PM, Herrmann JB, Cutler BS (1987) Optimal grafting methods for the small abdominal aorta. J Cardiovasc Surg 28:420–426
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Ito, M., Mishima, Y. Small aorta syndrome. Surg Today 23, 256–259 (1993). https://doi.org/10.1007/BF00309237
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DOI: https://doi.org/10.1007/BF00309237