Spontaneous Resolution of Lower Extremity Hypoperfusion in Type B Aortic Dissection: A Case Report

Authors : Zihni Mert DUMAN, Muhammed BAYRAM, Barış TİMUR, Sinem AYDIN, Kadriye MEMİÇ SANCAR, Mustafa YILDIZ

Pages : 216-218

View : 17 | Download : 6

Publication Date : 2022-08-20

Article Type : Other Papers

Abstract :Lower extremity hypoperfusion occurs in 5.7-30% of Stanford type B aortic dissection cases. A 53-year-old male patient presented with type B aortic dissection. His left femoral pulse was not palpable. The proximal left common iliac artery was nearly occluded in computed tomography angiography. There was no extremitythreatening rest pain, but there was intermittent claudication at 100 meters. Cross femoral bypass was planned for the patient under elective conditions. After two months, the left femoral pulse was palpable, and the patient no longer had intermittent claudication. In this study, we report that lower extremity hypoperfusion, which developed after acute type B aortic dissection resolved without open and endovascular surgery.
Keywords : Dissection, lower extremity, reperfusion, intermittent claudication