Aortoiliac Disease: Example 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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Preoperative CT angiogram demonstrating occlusion of the aorta and iliac arteries
Intraoperative angiogram demonstrating the aortic stent (dark oblong) being expanded during in the blocked aorta.
Intraoperative angiogram demonstrating a successful CERAB with flow through the aorta and into both newly reanalysed iliac arteries
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.