Aorto-iliac occlusive disease

Case contributed by Dr Andrew Van

Presentation

2 month history of intermittent claudication.

Patient Data

Age: 37
Gender: Male

CT Aortogram

Modality: CT

The infrarenal abdominal aorta is occluded as are the common iliac arteries and the left external iliac artery. Prominent collateral circulation can be seen supplying the inferior mesenteric, right external and internal iliac, left internal iliac and left common femoral arteries.

Case Discussion

This patient had a background of a recent acute myocardial infarct and was referred for an arterial doppler ultrasound for intermittent claudication. No arterial flow within the distal aorta was detected, which prompted this CT aortogram study.

Examination of his lower extremities reveals absent femoral, popliteal and pedal pulses bilaterally. He is now awaiting aortobifemoral bypass surgery.

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Case Information

rID: 47485
Case created: 17th Aug 2016
Last edited: 31st Aug 2016
System: Vascular
Inclusion in quiz mode: Included

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