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KMID : 0371319700120040075
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Journal of the Korean Surgical Society
1970 Volume.12 No. 4 p.75 ~ p.78
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A Case of Spontaneous Longitudinal Cleavage of Aorta, Iliac Arteries, and Renal Arteries
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Abstract
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We report a case of the spontaneous longitudinal cleavage of the abdominal aorta, iliac arteries, and the renal arteries associated with the symptoms and the signs of the right femoral artery occlusion and an acute renal failure.
The patient was 61 year old man with the history of hypertension. He was admitted to the hospital because of a sudden onset of severe pain, numbness, and coldness in the right lower extremity suggestive of acute femoral artery occlusion on that side. The manifestations of an acute renal failure occurred one day after admission and the patient finally died of renal failure two days later.
The postmortem examination showed the spontaneous longitudinal cleavage of the aorta extending to the iliac arteries and the renal arteries.
The entity was reported by Bauer and Hirsch in 1955 in detail. Before them observations on such entity were made by Babes and Mironescu in 1910, Whitman and Stein in 1924, and Gore and Seiwert in 1952 and 1953.
It is not clear that the spontaneous longitdinal cleavage of the aorta and the dissecting aneurysm are the same or the separate entity. The suggestion has been made that extravasation of blood with dissecting aneurysm of the aorta is secondary, and not a primary factor.
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