[Transfemoral fenestration and stent implantation in aorto-iliac dissection]

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