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Case Reports

Acute Thrombosis of Abdominal Aortic Aneurysm During Cardiac Surgery

^a Department of Anesthesiology and Intensive Care, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon
^b Department of Cardiovascular Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon

Accepted for publication April 13, 2009.

^_* Address correspondence to Dr Haddad, Department of Anesthesiology and Intensive Care, Hotel-Dieu de France Hospital, Saint Joseph University, Alfred Naccache St, PO Box 166830, Beirut, Lebanon (Email: fflhlb{at}yahoo.com).

Aortic thrombosis has been described in the medical literature as a rare and catastrophic complication of abdominal aortic aneurysms. However, it has only been reported once in cardiac surgical settings. We report a unique case of thrombosis of an abdominal aortic aneurysms during the course of cardiac surgery, in a fully anticoagulated patient on cardiopulmonary bypass. Prompt diagnosis and immediate surgical management were critical for a successful outcome.