Spontaneous dissecting aneurysm of the common iliac artery.
A 52-year-old man sought medical advice for sudden onset of intermittent claudication of the left lower limb after 50 meters walking. Aortography documented a dissecting aneurysm limited to the left common iliac artery. After resection, a prosthetic graft was inserted. Pathology showed that the cause of the dissection was atheroma. Spontaneous dissecting aneurysm of the common iliac artery is rare. Rupture represents the principal hazard. A high index of suspicion should lead to diagnosis as soon as signs of lower limb ischemia, occasionally transient, appear.
Declemy
S
S
Centre de Cardiologie Médico-chirurgical, Institut Arnault Tzanck, Saint Laurent du Var, France.
Kreitmann
P
P
Popoff
G
G
Diaz
F
F
D000784:Aortic Dissection / Q000473:pathology; D001161:Arteriosclerosis / Q000473:pathology; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D008297:Male; D008875:Middle Aged