title: Spontaneous infrarenal abdominal aortic dissection presenting as claudication: case report and review of the literature.
abstract: 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.
authors.affiliation: Section of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. alikfa@aol.com
authors.forename: Alik
authors.initials: A
authors.lastname: Farber
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Lauterbach
authors.forename: Willis H
authors.initials: WH
authors.lastname: Wagner
authors.forename: David V
authors.initials: DV
authors.lastname: Cossman
authors.forename: Brandon
authors.initials: B
authors.lastname: Long
authors.forename: J Louis
authors.initials: JL
authors.lastname: Cohen
authors.forename: Phillip M
authors.initials: PM
authors.lastname: Levin
mesh_terms: 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