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I am sorry, but the title of this case report is misleading. With a one month history of rest pain this is not truly a case of "acute aortic occlusion."

Acute aortic occlusions are true vascular emergencies, and such patients present with signs and symptoms of acute arterial ischemia, not with a month of rest pain.

Please review the classic paper written by the Henry Ford Hospital Vascular Surgery group: Acute Aortic Occlusion: A 40-Year Experience. It amazes me how soon the teachings of some of the founding fathers of the discipline of vascular surgery are forgotten.



Reference Citation:

Acute Aortic Occlusion: A 40-Year Experience

Archives of Surgery. 1994;129(6):603-608.

Authors:
Christos D. Dossa, MD; Alexander D. Shepard, MD; Daniel J. Reddy, MD; Cynthia M. Jones, MD; Joseph P. Elliott, MD; Roger F. Smith, MD; Calvin B. Ernst,
MD

web link is http://archsurg.ama-assn.org/cgi/content/abstra...