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Spontaneous dissecting aneurysm of the common iliac artery
Authors:Serge Declemy MD  Patrice Kreitmann MD  Georges Popoff MD  Fernando Diaz MD
Affiliation:(1) Centre de Cardiologie Médico-chirurgical, Institut Arnault Tzanck, Saint Laurent du Var, France
Abstract:A 52-year-old man sought medical advice for sudden onset of intermittent claudication of the left lower limb after 50 meters walking. Aortography documented a dissecting aneurysm limited to the left common iliac artery. After resection, a prosthetic graft was inserted. Pathology showed that the cause of the dissection was atheroma. Spontaneous dissecting aneurysm of the common iliac artery is rare. Rupture represents the principal hazard. A high index of suspicion should lead to diagnosis as soon as signs of lower limb ischemia, occasionally transient, appear.
Keywords:Iliac artery, common  claudication  aneurysm  peripheral vascular disease
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