open access

Vol 23, No 1 (2017)
Case reports
Published online: 2017-05-12
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Acute onset of lower limb claudication as a manifestation of a spontaneous common iliac artery dissection

Lukasz Hapka, Grzegorz Halena
DOI: 10.5603/AA.2017.0004
·
Acta Angiologica 2017;23(1):9-12.

open access

Vol 23, No 1 (2017)
Case reports
Published online: 2017-05-12

Abstract

Isolated abdominal aortic dissection constitutes a relatively small percentage of all aortic dissections. In this paper we present a case of a 59-year-old man who reported to the hospital because of the sudden appearance of intermittent claudication of his left lower limb. After establishing the diagnosis the patient was qualified for endovascular treatment due to dissection involving the final 1 cm of his abdominal aorta and extending to his left common iliac artery with significant true lumen compression. Stent was implanted into the left common iliac artery with almost complete occlusion of the false lumen and expansion of the true lumen of his iliac artery. During the 70-month follow-up we achieved a good result with evidence of stent patency and no signs of expansion of the false lumen. The paper discusses the epidemiology, aetiology, diagnosis and treatment of isolated abdominal dissections.

Abstract

Isolated abdominal aortic dissection constitutes a relatively small percentage of all aortic dissections. In this paper we present a case of a 59-year-old man who reported to the hospital because of the sudden appearance of intermittent claudication of his left lower limb. After establishing the diagnosis the patient was qualified for endovascular treatment due to dissection involving the final 1 cm of his abdominal aorta and extending to his left common iliac artery with significant true lumen compression. Stent was implanted into the left common iliac artery with almost complete occlusion of the false lumen and expansion of the true lumen of his iliac artery. During the 70-month follow-up we achieved a good result with evidence of stent patency and no signs of expansion of the false lumen. The paper discusses the epidemiology, aetiology, diagnosis and treatment of isolated abdominal dissections.

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About this article
Title

Acute onset of lower limb claudication as a manifestation of a spontaneous common iliac artery dissection

Journal

Acta Angiologica

Issue

Vol 23, No 1 (2017)

Pages

9-12

Published online

2017-05-12

DOI

10.5603/AA.2017.0004

Bibliographic record

Acta Angiologica 2017;23(1):9-12.

Authors

Lukasz Hapka
Grzegorz Halena

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