Journal of Vascular Medicine & Surgery

Abstract

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

Haruhiko Akagi, Hiroshi Irie, Yoshihisa Nakao, Mitsunori Kaneko, Kei Sakai and Shoji Sakaguchi

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.