PERCUTANEOUS FENESTRATION AND STENT PLACE MENT IN A PATIENT WITH AORTIC DISSECTION

Subacute left lower limb ischemia developed in a patient with aortic d issection. Angiography revealed a dissection of the aorta abdominalis and a severe stenosis of the left common iliac artery. The patient und erwent successful percutaneous fenestration and intravascular stent pl acement. The patient is currently (4 month post-intervention) ambulati ng without any signs of the leg ischemia. Percutaneous balloon fenestr ation and, if necessary, stent placement should be considered as a tre atment option and a alternative to surgery in selected cases.