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Acute Aortic Dissection Presenting as Rupture of the Femoral Artery

  • Papers Presented to the Southern California Vascular Surgical Society
  • Published:
Annals of Vascular Surgery

Abstract

A 44-year-old male with Marfan’s disease presented acutely with severe chest and left groin pain. A pulsatile mass was present in the left groin and the left leg was pale and pulseless. CT imaging demonstrated the presence of a distal thoracic aortic dissection (AD) involving the left iliofemoral segment with extravasation of contrast into the left groin. The patient was treated with an urgent femoral-femoral bypass, which repaired the femoral artery and restored perfusion to the left lower extremity. Whereas rupture of the aorta into the chest or pericardium is common, femoral artery rupture complicating AD has not been previously reported. This case illustrates the need for peripheral branch intervention when compromised by the dissection process including isolated iliofemoral segments, which are typically benign. Given frank femoral artery rupture, urgent surgical repair was required and resulted in a satisfactory outcome.

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Authors and Affiliations

  1. Section of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Stephen R. Lauterbach MD & Alik Farber MD

  2. Section of Vascular Surgery, University of Rochester Medical Center, Rochester, NY , USA

    Cynthia K. Shortell MD

Authors
  1. Stephen R. Lauterbach MD
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  2. Alik Farber MD
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  3. Cynthia K. Shortell MD
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Corresponding author

Correspondence to Stephen R. Lauterbach MD.

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Lauterbach, S.R., Farber, A. & Shortell, C.K. Acute Aortic Dissection Presenting as Rupture of the Femoral Artery. Ann Vasc Surg 18, 11–13 (2004). https://doi.org/10.1007/s10016-003-0099-6

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  • DOI: https://doi.org/10.1007/s10016-003-0099-6

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