Endovascular Repair of Spontaneous Infrarenal Aortic Dissection Presenting as Claudication

Abstract

Infrarenal abdominal aortic dissection is a rare disease that has traditionally been treated with graft replacement under general anesthesia. We report a case of isolated dissection of the abdominal aorta that was managed by an endovascular approach. The patient was 81-year-old with intermittent claudication. Computed tomographic angiography (CTA) showed isolated dissection of the abdominal aorta and both iliac arteries. A stent was placed in the abdominal aorta and it closed the pseudolumen. It restored the blood flow to the lower leg, and the intermittent claudicantion disappeared.