International Journal of Clinical & Medical Images

Summary Dissection restricted to the infrarenal aorta is very rare and accounts for less than 1% of all aortic dissections. Up to date, there are only few cases reported about endovascular repair of spontaneous infrarenal aortic dissection [1]. We present 49 years old female, hospitalized to emergency department with spontaneous onset of severe lower back pain. Laboratory tests were not remarkable. Abdominal CTA revealed focal dissection of infrarenal aorta. In order to avoid thrombosis of infrarenal aorta and prevent further distribution of intimal dissection, endovascular aortic angioplasty with self-expanding bare metal stents (SEMS) in overlapping technique was performed, avoiding otherwise complicated and traumatic open aortic repair. No intra- or postoperative complications were observed. In 3 month follow-up patient was asymptomatic, control CTA revealed only slight wall thickening in the area of aortic wall dissection with no signs of further extension of dissection upstream or downstream.