Spontaneous Resolution of Lower Extremity Hypoperfusion in Type B Aortic Dissection: A Case Report
Zihni Mert Duman1
, Muhammed Bayram1, Barış Timur1, Sinem Aydın2, Kadriye Memiç Sancar3, Mustafa Yıldız3
1Clinic of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
2Clinic of Radiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
3 Clinic of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
Keywords: Dissection; lower extremity; reperfusion; intermittent claudication
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.
Cite this article as: Duman ZM, Bayram M, Timur B, Aydın S, Memiç Sancar K, Yıldız M. Spontaneous resolution of lower extremity hypoperfusion in type b aortic dissection: a case report. Koşuyolu Heart J 2022;25(2):216-218.
Written informed consent was obtained from patient who participated.
Externally peer-reviewed.
Concept/Design - ZMD, MB, SA; Analysis/ Interpretation - ZMD, KMS ; Data Collection - BT, SA; Writing - ZMD, BT; Critical Revision - MY, MB; Final Approval - MY, KM; Overall Responsibility - ZMD, MB.
All authors declare that they do not have conflict of interest.
The authors declared that this study has received no financial support.