BLUE TOES DUE TO FLOATING PLAQUE OF THE ABDOMINAL-AORTA - ENDOVASCULAR REPAIR WITH STENT

A 60 year old male patient was admitted with so-called blue toes on bo th toes. Investigation, including real-time ultrasound, revealed a flo ating plaque on the dorsal side of the abdominal aorta as the most pro bable cause of the blue toes. By means of simultaneous fluoroscopy and ultrasound guided implantation of a stent it was possible to restore a free lumen of the aorta. The patient had an uncomplicated recovery. Post-operative colour coded Doppler ultrasound showed normal flow in t he aorta. Follow-up examination one year after the procedure demonstra ted no evidence of further embolic events and a patent aorta.