Cholesterol embolization sometimes occurs after invasive procedures in
volving manipulation of the aorta or its major branches, and less comm
only occurs after thrombolytic therapy for acute myocardial infarction
. Rarer still is spontaneous cholesterol embolization, a case of which
we now report. Our patient experienced peripheral embolization, the o
rigin of which was traced to the infrarenal aortic segment and the com
mon iliac vessels. Aortoiliac reconstruction was successful; we believ
e that surgical management of this condition should be performed in se
lected cases.