Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Annals of Vascular Surgery
Published in: Annals of Vascular Surgery 1/2004

01-02-2004 | Papers Presented to the Southern California Vascular Surgical Society

Spontaneous Infrarenal Abdominal Aortic Dissection Presenting as Claudication: Case Report and Review of the Literature

Authors: Alik Farber, MD, Stephen R. Lauterbach, MD, Willis H. Wagner, MD, David V. Cossman, MD, Brandon Long, MPH, J. Louis Cohen, MD, Phillip M. Levin, MD

Published in: Annals of Vascular Surgery | Issue 1/2004

Login to get access

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.
Literature
1.
Hirst, A, Johns, V, Kime, W 1958Dissecting aneurysms of the aorta.Medicine37217279PubMed
2.
Farber, A, Wagner, WH, Cossman, DV,  et al. 2002Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options.J Vasc Surg36205210PubMed
3.
Knape, S, Van den Brande, P, Debing, E,  et al. 2001Spontaneous dissection of the abdominal aorta.Ann Vasc Surg15709712PubMed
4.
Graham, D, Alexander, JJ, Franceschi, D,  et al. 1988The management of localized abdominal aortic dissections.J Vasc Surg8582591PubMed
5.
Mozes, G, Gloviczki, P, Park, WM,  et al. 2002Spontaneous dissection of the infrarenal abdominal aorta.Semin Vasc Surg15128136PubMed
6.
Weston, TS, Ardagh, JW 1975Infrarenal dissection of the aorta.N Z Med J82302304PubMed
7.
Silbert, PL, Matz, LR, Larbalestier, R,  et al. 1992Abdominal aortic dissection due to idiopathic medial aortopathy in a 32-year-old Caucasian man.J Cardiovasc Surg33457459
8.
Kibria, SMG, Leveson, SH, Homer-Vanniasinkam, S 2000Spontaneous dissection of the abdominal aorta.J R Coll Surg Edinb45408410PubMed
9.
Eimany, A, Roberts, AK 1997Acute infrarenal aortic dissection, bilateral ischemia of lower limbs: a rare presentation.Aust N Z J Surg68615617
10.
Ayerdi, J, Deshmukh, N 1999Localized infrarenal abdominal aortic dissection presenting as an acute iliac artery occlusion.Surg Rounds22394400
11.
Adar, R, Nazarian, M, Salzman, EW 1969Abdominal aortic dissection presenting as femoral artery occlusion.Israel J Med Sci5407410PubMed
12.
Goldsmith, EI, Steinberg, I 1964Spontaneous dissecting hematoma of the abdominal aorta in Leriche’s syndrome.Circulation30230233PubMed
13.
VanMaele, RG, De Bock, L, Van Schil, PE,  et al. 1992Limited acute dissections of the abdominal aorta: report of five cases.J Cardiovasc Surg33298304
14.
Johns, TNP 1953Dissecting aneurysm of the abdominal aorta.Ann Surg137232235PubMed
15.
Ludin, H, Waibel, P, Scheidegger, S 1961Medionecrotic dissecting aneurysm of the abdominal aorta.Acta Radiol (Stockh)55177185
16.
Bresnihan, ER, Keates, PG 1980Ultrasound and dissection of the abdominal aorta.Clin Radiol31105108PubMed
17.
Youngson, G, Engeset, J, Hussey, J,  et al. 1983Dissecting aneurysm of infrarenal abdominal aorta.Surgery94521523
18.
Cambria, RP, Morse, S, August, D,  et al. 1987Acute dissection originating in the abdominal aorta.J Vasc Surg5495497CrossRefPubMed
19.
Busuttil, S, Hall, L, Hines, GL 1993Spontaneous dissection of the abdominal aorta: experience with five patients.Ann Vasc Surg7414418PubMed
20.
Carreno, JA, Llaneza, JM, Alvarez, LJ,  et al. 1998Spontaneous acute abdominal aortic dissection.Ann Vasc Surg12373378CrossRefPubMed
21.
Satta, J, Juvonen, T 1995Primary dissection of the abdominal aorta.Eur J Surg161527529PubMed
22.
Gendal, ES, Mendelson, DS, Janus, CL 1989Magnetic resonance imaging of isolated abdominal aortic dissection.Clin Imaging13217219PubMed
23.
Bartolucci, R, Pogany, G, Rabitti, G 2000Infrarenal aortic dissection into an abdominal aortic aneurysm.J Cardiovasc Surg41515516
24.
Becquemin, J-P, Deleuze, P, Watelet, J,  et al. 1990Acute and chronic dissections of the abdominal aorta: clinical features and treatment.J Vasc Surg11397402CrossRefPubMed
25.
Lofti, S, Voigt, C, Friedrich, M,  et al. 2002Acute spontaneous infrarenal aortic dissection.J Cardiovasc Surg43511513
26.
Chew, DKW, Muto, PM, Straceski, AJ,  et al. 2001Spontaneous aortic dissection and rupture in a patient with neurofibromatosis.J Vasc Surg34364366CrossRefPubMed
27.
Khalil, I, Fahl, M 1995Acute infrarenal aortic dissection with secondary aneurysm formation in pregnancy.Eur J Vasc Endovasc Surg9481484PubMed
28.
Roberts, CS, Roberts, WC 1991Aortic dissection with the entrance tear in abdominal aorta.Am Heart J12118345PubMed
29.
Lie, JT 1987Segmental Takayasu aortitis with rupture and limited dissection.Hum Pathol1811831185PubMed
30.
Ruckert, RI, Ruckert, RI, Rogalla, P,  et al. 1999Dissecting aneurysm of infrarenal abdominal aorta.J Cardiovasc Surg40703706
31.
Ferko, A, Krajina, A, Jon, B,  et al. 1998Dissection of the infrarenal aorta treated by stent graft placement.Eur Radiol8298300CrossRefPubMed
32.
Lauterbach, SR, Cambria, RP, Brewster, DC,  et al. 2001Contemporary management of aortic branch compromise resulting from acute aortic dissection.J Vasc Surg3311851192CrossRefPubMed
33.
DeBakey, ME, McCollum, CH, Crawford, ES,  et al. 1982Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty seven patients treated surgically.Surgery9211181133PubMed
34.
Cambria, RP, Brewster, DC, Moncure, AC,  et al. 1988Spontaneous aortic dissection in the presence of coexistent or previously repaired atherosclerotic aortic aneurysm.Ann Surg208619624PubMed
35.
Dake, MD, Kato, N, Mitchell, RS,  et al. 1999Endovascular stent-graft placement for the treatment of acute aortic dissection.N Engl J Med34015461552PubMed
Metadata
Title
Spontaneous Infrarenal Abdominal Aortic Dissection Presenting as Claudication: Case Report and Review of the Literature
Authors
Alik Farber, MD
Stephen R. Lauterbach, MD
Willis H. Wagner, MD
David V. Cossman, MD
Brandon Long, MPH
J. Louis Cohen, MD
Phillip M. Levin, MD
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 1/2004
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-003-0100-4

Other articles of this Issue 1/2004

Annals of Vascular Surgery 1/2004 Go to the issue

Papers Presented to the Southern California Vascular Surgical Society

Hemodynamic Changes Occurring during the Progressive Enlargement of Abdominal Aortic Aneurysms

Case Reports

Deep Venous Thrombosis Caused by Congenital Absence of Inferior Vena Cava, Combined with Hyperhomocysteinemia

Case Reports

Popliteal Artery Pseudoaneurysm Caused by Osteochondroma

Case Reports

Behcet’s Disease: Treatment of Popliteal Pseudoaneurysm by an Endovascular Stent Graft Implantation

Original Articles

Periaortitis: Gadolinium-enhanced Magnetic Resonance Imaging and Response to Therapy in Four Patients

Editor’s Commentary

Are There Genes for Aneurysms in the Blueprint of the Human Genome?