Department of Peripheral Vascular Disease, the First Clinical College of Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Department of Peripheral Vascular Disease, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
J Clin Hypertens (Greenwich). 2024 Aug;26(8):986-989. doi: 10.1111/jch.14847. Epub 2024 Jul 5.
The coarctation of the aorta (CoA) combined with heart defects or cerebral artery aneurysms is more prevalent in clinical practice. However, cases of concurrent bilateral iliac artery dissection (IAD) are extremely rare and have not been reported. Here, we described a case with CoA combined with bilateral IAD. The patient, a 62-year-old male, presented with acute intermittent claudication accompanied by pain and aching in both lower limbs after walking. Following a thorough medical history inquiry and examination, the patient was diagnosed with acute bilateral IAD combined with CoA. The patient underwent endovascular treatment. Postoperatively, the aortic diameter recovered, and the bilateral IAD disappeared, yielding satisfactory therapeutic results. Conclusively, endovascular treatment of aortic coarctation combined with IAD is an effective therapeutic approach, enhancing patient survival and improving their quality of life.
主动脉缩窄（CoA）合并心脏缺损或脑动脉动脉瘤在临床实践中更为常见。然而，同时并发双侧髂动脉夹层（IAD）的病例极为罕见，尚未见报道。在这里，我们描述了一例 CoA 合并双侧 IAD 的病例。患者为 62 岁男性，表现为间歇性跛行，行走后出现双下肢疼痛和酸痛。在详细询问病史和检查后，该患者被诊断为急性双侧 IAD 合并 CoA。患者接受了血管内治疗。术后，主动脉直径恢复，双侧 IAD 消失，治疗效果满意。总之，血管内治疗主动脉缩窄合并 IAD 是一种有效的治疗方法，可提高患者的生存率并改善其生活质量。
