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Initial Management and Recognition of Aortoiliac Occlusive Disease, A Case Report

Ashley Hope1, Alisa Wray1, Graham Stephenson1

  • 1University of California, Irvine, Department of Emergency Medicine, Orange, CA.

Journal of Education & Teaching in Emergency Medicine
|July 24, 2023
PubMed

Insights

Aortoiliac occlusive disease (AOD) can cause acute limb ischemia. This case report details the successful embolectomy and recovery of a patient with suspected AOD, highlighting effective management strategies.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine

Background:

  • Aortoiliac occlusive disease (AOD) is a critical manifestation of peripheral arterial disease.
  • It involves stenosis or occlusion of the distal aorta and iliac vessels, potentially leading to severe limb ischemia.

Purpose of the Study:

  • To present a case of acute aortoiliac occlusive disease (AOD) with bilateral lower extremity ischemia.
  • To discuss the diagnostic workup and emergent management of this condition.

Main Methods:

  • A 71-year-old male presented with acute bilateral lower extremity pain and absent femoral pulses.
  • Emergent imaging and vascular surgery consultation were performed.
  • The patient underwent bilateral femoral artery cut downs with embolectomy.

Main Results:

  • The patient experienced a significant recovery with preserved motor function in both lower extremities.
  • Embolectomy successfully restored blood flow, alleviating acute limb ischemia.

Conclusions:

  • Prompt diagnosis and surgical intervention, such as embolectomy, are crucial for managing acute aortoiliac occlusive disease (AOD).
  • This case underscores the importance of timely vascular surgery consultation in suspected AOD presenting with limb ischemia.

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