AORTIC ANEURYSMS AS LATE SEQUELAE OF ABOVE-KNEE AMPUTATION

The infrarenal aorta was examined by ultrasound in 329 men who had lost a leg in World War II and in 702 war veterans. The groups were similar in terms of age and risk factors for arteriosclerosis. Abdominal aortic aneurysms were found in 5·8% of the amputees compared with 1·1% of the non-amputees....

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Veröffentlicht in:	The Lancet (British edition) 1989-10, Vol.334 (8667), p.834-835
Hauptverfasser:	Vollmar, J.F., Pauschinger, P., Paes, E., Henze, E., Friesch, A.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Amputation Amputation - adverse effects Aneurysms Aorta Aorta, Abdominal Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - etiology Aortic Aneurysm - physiopathology Aortic aneurysms Arteriosclerosis Bifurcations Biological and medical sciences Blood and lymphatic vessels Blood Flow Velocity Cardiology. Vascular system Cardiovascular disease Circulatory system Complications Coronary vessels Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Humans Iliac Artery Knee Leg Legs Male Medical sciences Middle Aged Military personnel Prospective Studies Radiography Risk analysis Risk Factors Thigh - blood supply Thigh - surgery Time Factors Ultrasound War
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Zusammenfassung:	The infrarenal aorta was examined by ultrasound in 329 men who had lost a leg in World War II and in 702 war veterans. The groups were similar in terms of age and risk factors for arteriosclerosis. Abdominal aortic aneurysms were found in 5·8% of the amputees compared with 1·1% of the non-amputees. Unilateral flow reduction after leg amputation causes an asymmetrical flow pattern at the aortic bifurcation, and this is probably the main cause of late damage to the aorta.
ISSN:	0140-6736 1474-547X
DOI:	10.1016/S0140-6736(89)92999-1