Conditions Treated

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.  

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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.

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Figure 1
Preoperative CT angiogram demonstrating occlusion of the aorta and iliac arteries
Figure 2a
Intraoperative angiogram demonstrating the aortic stent (dark oblong) being expanded during in the blocked aorta.
Figure 2b
Intraoperative angiogram demonstrating a successful CERAB with flow through the aorta and into both newly reanalysed iliac arteries
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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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.