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Middle Aortic Syndrome

A Case Report

Christos D. Liapis, MD

John D. Kakissis, MD

Elias A. Kaperonis, MD

Department of Propaedeutic Surgery, Faculty of Medicine, School of Health Science, University of Athens, Laiko General Hospital of Athens, Greece

Athina N. Androulaki, MD

Department of Pathology, Laiko General Hospital of Athens, Greece

John G. Gogas, MD

Department of Propaedeutic Surgery, Faculty of Medicine, School of Health Science, University of Athens, Laiko General Hospital of Athens, Greece

A 47-year-old woman presented with a 2-year history of severe proximal claudication symptoms in both legs. Digital subtraction aortography (DSA) showed a localized occlusion of the infrarenal abdominal aorta. A longitudinal arteriotomy and an endarterectomy of the aorta were performed. The arteriotomy was closed with a polytetrafluoroethylene (PTFE) patch. Postoperatively, the follow-up demonstrated a normal aorta with all pedal pulses palpable. In patients with the above symptoms, middle aortic syndrome should be included in the differential diagnosis.

Vascular and Endovascular Surgery, Vol. 34, No. 3, 277-280 (2000)
DOI: 10.1177/153857440003400316


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