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ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1999 Dicembre;40(6):883-6

lingua: Inglese

Aorto-­iliac ­steal syn­drome. A ­rare ­case of ­renal hypo­per­fu­sion

Pulli R., Gatti M., Narcetti S.*, Capaccioli L.*, La Cava G.**, Pratesi C.

From the Chair of Vascular Surgery
*Department of Clinical Pathophysiology Section of Radiodiagnosis I
**Department of Clinical Pathophysiology Section of Nuclear Medicine
University of Florence, Florence, Italy


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In aor­to-­iliac occlu­sive dis­ease a diver­sion of ­blood ­flow ­from vis­cer­al arter­ies to low­er ­limbs rare­ly ­occurs. This con­di­tion is ­known as aor­to-­iliac ­steal syn­drome. This ­report is ­about the ­case of a ­male ­patient affect­ed by chron­ic ath­e­ros­cle­rot­ic occlu­sion of the aor­ta asso­ciat­ed ­with an aor­to-­iliac ­steal sup­port­ed by an anom­a­lous ves­sel com­ing ­from the ­left ­renal ­artery to the homo­lat­er­al exter­nal ­iliac ­artery to the det­ri­ment of the ­renal ­blood ­flow. Renal sequential scintiscan (RSS) at ­rest and ­after ­stress ­test was ­employed to ­assess ­renal ­blood ­flow and excre­to­ry func­tions ­before and ­after an aor­to-bife­mo­ral ­bypass. Surgical revas­cu­lar­iza­tion per­mit­ted rever­sal of the ­steal phe­nom­e­non and the improve­ment of ­left ­renal ­blood ­flow.

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