Aortobifemoral bypass with open surgical fenestration for the treatment of disabling claudication secondary to a chronic type B aortic dissection

Abstract

Lower extremity claudication occurs in 40% or more of patients with complicated type B aortic dissections. Thoracic endovascular aortic repair (TEVAR), extra-anatomic bypass, and open surgical fenestration represent potential treatment options for malperfusion due to complicated chronic aortic dissection cases. We present a case involving an aortobifemoral bypass and open surgical fenestration to treat severe, disabling claudication in a patient with a chronic type B aortic dissection.

Keywords

• Aortic dissection
• Aortobifemoral bypass
• Malperfusion
• Claudication