Spontaneous infrarenal abdominal aortic dissection presenting as claudication: case report and review of the literature.
Spontaneous infrarenal abdominal aortic dissection (SIAAD) is rare. Patients with SIAAD may be asymptomatic or may present with abdominal pain or lower extremity ischemia. We describe a case report of a patient with SIAAD who presented with claudication. We reviewed the English literature on this disorder and specifically evaluated the differences between patients on the basis of their presenting symptoms. Patients who had SIAAD and lower extremity ischemia were more likely to have the dissection process extend into the iliac or femoral artery and were less likely to have an associated abdominal aortic aneurysm. Aortic rupture in the presence of SIAAD was associated with increased risk of death.
Farber
Alik
A
Section of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. alikfa@aol.com
Lauterbach
Stephen R
SR
Wagner
Willis H
WH
Cossman
David V
DV
Long
Brandon
B
Cohen
J Louis
JL
Levin
Phillip M
PM
D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome