Aortic dissection is primarily localized in the thoracic aorta. Dissec
tion of the abdominal aorta is exceedingly rare, especially in the abs
ence of a blunt abdominal trauma. Two cases of a primarily infrarenal
aortic dissection were diagnosed bi US, CT and angiography. The patien
ts were treated by stent graft placement. The stent grafts were introd
uced via a femoral arteriotomy through the introducer sheath and were
placed so that they occluded entry and re-entry of aortic dissection.
The stent graft placement caused total obliteration of a false channel
of the dissection immediately after endoprosthesis deployment. The pa
tients were followed-up by CT and angiography at 16 and 3 months after
surgery without complication.