Document Detail


Spontaneous infrarenal abdominal aortic dissection presenting as claudication: case report and review of the literature.
MedLine Citation:
PMID:  14712378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Alik Farber; Stephen R Lauterbach; Willis H Wagner; David V Cossman; Brandon Long; J Louis Cohen; Phillip M Levin
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2004-01-12
Journal Detail:
Title:  Annals of vascular surgery     Volume:  18     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-03-24     Completed Date:  2004-06-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  4-10     Citation Subset:  IM    
Affiliation:
Section of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. alikfa@aol.com
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / complications,  diagnosis*,  surgery
Aortic Aneurysm, Abdominal / complications,  diagnosis*,  surgery
Blood Vessel Prosthesis Implantation / methods
Diagnosis, Differential
Humans
Intermittent Claudication / diagnosis*,  etiology
Male
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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