Midaortic Syndrome with Aortoiliac Occlusive Disease And Venous Stasis Ulceration

A 14-year-old female with mid-aortic syndrome, aorto-iliac occlusion, two-drug hypertension, solitary kidney, and right leg hemi-hypertrophy was referred for a progressive chronic non-healing left lower extremity supra-malleolar wound. She had bilateral lower extremity claudication with vigorous exercise. Left femoral/pedal pulses were absent and ABIs reduced. CTA revealed infrarenal aorto-iliac atresia with reconstitution of the right iliac bifurcation and left CFA. She had a persistent sciatic artery associated with distal popliteal ectasia (Figure 1).
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research