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An infrarenal aortic hypoplasia presented with claudication.

Sung SA, Hwang YH, Lee SY, Cho YK, Kwon TW - J. Korean Med. Sci. (2010)

Bottom Line: We describe a case of infrarenal aortic hypoplasia in a 52-yr-old woman who presented with claudication.Computed tomographic angiography revealed an abrupt absence of the infrarenal aorta, with collateral flow reconstituting the iliofemoral systems.After a polytetrafluoroethylene graft was interposed between the aortic stump and the iliac bifurcation, the patient's claudication resolved.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea. soi@eulji.ac.kr

ABSTRACT
We describe a case of infrarenal aortic hypoplasia in a 52-yr-old woman who presented with claudication. Computed tomographic angiography revealed an abrupt absence of the infrarenal aorta, with collateral flow reconstituting the iliofemoral systems. After a polytetrafluoroethylene graft was interposed between the aortic stump and the iliac bifurcation, the patient's claudication resolved.

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The microscopic image showed fibromyxoid degeneration (H&E stain; magnification×100, ×400 in small box).
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Figure 3: The microscopic image showed fibromyxoid degeneration (H&E stain; magnification×100, ×400 in small box).

Mentions: Operative findings revealed absence of infrarenal aorta replaced with fibrous band (Fig. 2). The pathology revealed fibromyxoid degeneration (Fig. 3). Polytetrafluoroethylene graft was interposed between the subdiaphragmatic thoracic aorta to the iliac bifurcation. The claudication resolved, and ankle-brachial index became 1.1. For her knee joint arthritis, she was started with methylprednisolon of 8 mg and non-steroid anti-inflammatory drug. After negative results of Pathergy test and human lymphocyte antigen B 51, we ruled out the Behcet's disease and she tapered the medications to stop successfully. She wanted the antihypertensive drug for mild hypertension and was taken amlodipine at 5 mg daily.


An infrarenal aortic hypoplasia presented with claudication.

Sung SA, Hwang YH, Lee SY, Cho YK, Kwon TW - J. Korean Med. Sci. (2010)

The microscopic image showed fibromyxoid degeneration (H&E stain; magnification×100, ×400 in small box).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2877227&req=5

Figure 3: The microscopic image showed fibromyxoid degeneration (H&E stain; magnification×100, ×400 in small box).
Mentions: Operative findings revealed absence of infrarenal aorta replaced with fibrous band (Fig. 2). The pathology revealed fibromyxoid degeneration (Fig. 3). Polytetrafluoroethylene graft was interposed between the subdiaphragmatic thoracic aorta to the iliac bifurcation. The claudication resolved, and ankle-brachial index became 1.1. For her knee joint arthritis, she was started with methylprednisolon of 8 mg and non-steroid anti-inflammatory drug. After negative results of Pathergy test and human lymphocyte antigen B 51, we ruled out the Behcet's disease and she tapered the medications to stop successfully. She wanted the antihypertensive drug for mild hypertension and was taken amlodipine at 5 mg daily.

Bottom Line: We describe a case of infrarenal aortic hypoplasia in a 52-yr-old woman who presented with claudication.Computed tomographic angiography revealed an abrupt absence of the infrarenal aorta, with collateral flow reconstituting the iliofemoral systems.After a polytetrafluoroethylene graft was interposed between the aortic stump and the iliac bifurcation, the patient's claudication resolved.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea. soi@eulji.ac.kr

ABSTRACT
We describe a case of infrarenal aortic hypoplasia in a 52-yr-old woman who presented with claudication. Computed tomographic angiography revealed an abrupt absence of the infrarenal aorta, with collateral flow reconstituting the iliofemoral systems. After a polytetrafluoroethylene graft was interposed between the aortic stump and the iliac bifurcation, the patient's claudication resolved.

Show MeSH
Related in: MedlinePlus