Intermittent Claudication Caused By a Dissecting Aneurysm of the Aorta

Publisher Website
Google Scholar
Abstract
A 57 year old Negro developed a dissecting aneurysm of the aorta extending from the lower thoracic aorta to the bifurcation of the abdominal aorta. The left renal artery was sheared away from the aorta but remained patent with the new origin from the dissected aorta and maintained good function of the left kidney. Claudication of the right leg developed from partial obstruction of the origin of the right iliac artery by the aortic intima displaced by the dissection. No abnormalities were found on physical examination, chest roentgenogram, electrocardiogram or intravenous pyelogram. Because of the history of severe, sustained pain of unknown origin, aortography was performed which clearly established the diagnosis. At operation local excision of the displaced aortic intima obstructing the right iliac artery promptly relieved the claudication. The patient is being followed with serial roentgenograms to evaluate any changes in the dissected aorta; thus far no enlargement has occurred.

This publication has 1 reference indexed in Scilit: