Aortoiliac Disease: Example Case

Clinical Case

A 48 year old male presented complaining of bilateral leg and buttock pain on walking less that 50 metres. The pain ceased almost immediately when he rested. He had also noticed increased diificulty in attaining an erection over the preceding 12 months. He had no plapable pulses in either leg. A duplex Doppler 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 figure 2a & 2b) This was completed under a general anaesthetic by a team of surgeons without incident. (See figure 3). He returned to full activity within 4 weeks of discharge and is now able to walk any given distance and attain an erection when required.