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International Journal of Vascular Medicine
Volume 2011, Article ID 890204, 4 pages
http://dx.doi.org/10.1155/2011/890204
Case Report

Spontaneous Supraceliac Isolated Abdominal Aortic Dissection Sparing Major Visceral and Renal Vessels and Presenting as Chronic Limb Ischemia

Department of Vascular Surgery, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT, UK

Received 31 January 2011; Accepted 1 March 2011

Academic Editor: Frank R. Arko

Copyright © 2011 Sean O. Z. Bello et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aortic dissections that originate from isolated tears in the abdominal aorta are uncommon. Rarer still are cases of isolated abdominal aortic dissections arising in suprarenal locations, as most appear from infrarenal intimal defects. We present a quite unusual case of a spontaneous supraceliac isolated abdominal aortic dissection sparing the renal and mesenteric arteries and manifesting as chronic rather than acute limb ischemia. The atypical presentation of this case led to repeated misdiagnosis with consequent loss of part of the patient's limb. Better illustration of the natural history of this ill-defined pathology is needed to aid understanding and improve patient care.