Abstract
We report the case of a patient with infrarenal abdominal aortic aneurysm with mural thrombus covering the ostium of a patent inferior mesenteric artery (IMA). The IMA was supplied via flow from an accessory aneurysmal lumen within the mural thrombus that filled retrogradely from the aorta. This unusual pattern, associated with calcifications within the thrombus, raised the possibility of chronic aortic dissection.
MeSH terms
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Aged
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Aortic Aneurysm, Abdominal / diagnostic imaging*
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Aortic Aneurysm, Abdominal / pathology
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Aortic Aneurysm, Abdominal / surgery
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Aortography*
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Blood Vessel Prosthesis Implantation
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Female
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Humans
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Ligation
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Mesenteric Artery, Inferior / diagnostic imaging*
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Mesenteric Artery, Inferior / pathology
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Mesenteric Artery, Inferior / surgery
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Thrombosis / pathology
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Thrombosis / surgery
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Tomography, X-Ray Computed*