Endovascular repair of spontaneous infrarenal aortic dissection presenting as severe lower extremity ischaemia.
We report a 90-year old man who presented with severe lower extremity ischaemia due to spontaneous dissection of a non-aneurysmal infrarenal abdominal aorta. The aortic lesion was treated using an aorto-uni-iliac stent-graft with contralateral common iliac artery occlusion and femoro-femoral cross-over bypass. The patient underwent digital amputation and debridement of the foot four weeks post-operatively. At 12 months follow-up, he remains symptom-free with an excluded dissection, patent reconstruction and healed foot.
Adam
D J
DJ
University Department of Vascular Surgery, Heart of England NHS Foundation Trust, Birmingham, UK. donald.adam@heartofengland.nhs.uk
Roy-Choudhury
S
S
Bradbury
A W
AW
D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D005734:Gangrene; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D014034:Toes / Q000098:blood supply; D014057:Tomography, X-Ray Computed