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Korean J Crit Care Med > Volume 19(2); 2004 > Article
Korean Journal of Critical Care Medicine 2004;19(2): 134-138.
증례 : 급성 하지 허혈을 주소로 내원한 대동맥 박리증 1예 -증례 보고-
배영신, 김연우, 민영기, 이영주
아주대학교 의과대학 응급의학교실, *마취통증의학과교실
Aortic Dissection Presenting as Lower Leg Ischemia: A Case Report
Young Shin Bae, Yeon Woo Kim, Young Gi Min, Young Ju Lee
1Deparetments of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. youngmd@hanmail.net
2Deparetments of Anesthesiology, Ajou University School of Medicine, Suwon, Korea.
ABSTRACT
We report a 47-year-old man who presented with acute right leg pain without any other symptoms on visit to ER. But he had the severe back pain when the leg pain developed. Contrast CT revealed no enhancement on right common iliac artery and aortic dissection from the lower level of right renal artery to the iliac artery bifurcation. Angiographic stent insertion was performed immediately, but the patient showed reperfusion syndrome and died after 3 days. Aortic dissection with the isolated peripheral vascular complications is rare. Aortic dissection should be included in the differential diagnosis of patients with acute lower leg ischemia like peripheral arterial occlusive disease.
Key Words: Acute; Aortic dissection; Lower leg ischemia
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