Stenosis-jet can cause a dissection of the superficial femoral artery.
A dissection of the superficial femoral artery mainly occurs due to trauma or manipulation of the artery by means of interventional procedures. In contrast to dissections of the carotid arteries which are known to occur spontaneously we present the case of a stenosis of the superficial femoral artery that led to a dissection caused by the stenosis-jet. The dissection on the other hand caused an appositional thrombus which led to the embolic occlusion of the pedal-arteries. In case of peripheral embolisms in patients with or without history of peripheral arterial occlusion disease it is important to look for a causing arterial pathology preferably by duplex sonography.
Department of Angiology, University Hospital Essen, Germany.
K
K
Massalha
M
M
Goyen
G
G
Rudofsky
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D001783:Blood Flow Velocity / Q000502:physiology; D001794:Blood Pressure / Q000502:physiology; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging; D008297:Male; D012422:Rupture, Spontaneous; D013919:Thromboangiitis Obliterans / Q000000981:diagnostic imaging*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology*; D014034:Toes / Q000098:blood supply; D018616:Ultrasonography, Doppler, Duplex