Conditions Treated

Aortoiliac Disease: Example Case

Clinical Case

 

A 48 year old man presented with bilateral leg and buttock pain on walking less that 50 metres, ceasing almost immediately on resting.  He had difficulty in achieving an erection over the preceding 12 months. 

 

He had no palpable pulses in either leg.  A duplex ultrasound scan demonstrated significant aortoiliac disease (See figure 1). 

 

After appropriate counselling he elected to undergo a Covered Endovascular Reconstruction of his Aortic Bifurcation (CERAB, See figures 2a, 2b & 3). 

 

He returned to full activity within 4 weeks of discharge and is now able to walk any given distance.  His impotence has resolved.  

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What should I do next?

If you think you have this condition or any of the described symptoms we recommend you seek medical advice.

For further information or to arrange an appointment at Circulation Clinic

Enquiries: 0345 3690106

Email: enquiries@CirculationClinic.com

Figure 1
Figure 1

Preoperative CT angiogram demonstrating occlusion of the aorta and iliac arteries

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Figure 2a
Figure 2a

Intraoperative angiogram demonstrating the aortic stent (dark oblong) being expanded during in the blocked aorta.

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Figure 2b
Figure 2b

Intraoperative angiogram demonstrating a successful CERAB with flow through the aorta and into both newly reanalysed iliac arteries

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Figure 3
Figure 3

CT angiogram after the CERAB: Stents demonstrated in aorta and iliac arteries plus one stent as a chimney reconstruction of the inferior mesenteric artery to maintain perfusion to the lower colon.

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