Key result
Peripheral angiography identifies spontaneous bilateral SFA dissection in a 78-year-old male with worsening claudication.
Why the study?
Spontaneous arterial dissection of the superficial femoral artery is uncommon and exceptionally rare when bilateral.
Case Report (n=1)
This case highlights the need to consider bilateral spontaneous SFA dissection in the differential diagnosis for bilateral lower extremity ischemia, even without trauma.
Alerts clinicians to spontaneous bilateral SFA dissection in atraumatic claudication; hypothesis-generating for etiology and management.
Spontaneous arterial dissection regarding the superficial femoral artery (SFA) is known to be an uncommon finding, and this clinical entity, when noted bilaterally, is exceptionally rare. Diagnosis is typically achieved by imaging modalities such as angio-tomography (angio-CT) or arteriography. This case report involves a 78-year-old male patient with a history of hypertension (HTN), cardiovascular disease, and arrhythmias who presented with leg pain and aches. A peripheral angiogram diagnosed spontaneous bilateral dissection of the SFA. This case adds to the literature by documenting this rare phenomenon, highlighting the need for clinical awareness of bilateral spontaneous SFA dissection in differential diagnoses for bilateral lower extremity ischemia, even in the setting of no trauma or traditional risk contributors.
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Syed et al. (2025) conducted a case report in Bilateral spontaneous dissection of the superficial femoral arteries (n=1). Spontaneous bilateral dissection of the superficial femoral arteries was evaluated. Peripheral angiography identified spontaneous bilateral dissection of the superficial femoral arteries in a 78-year-old male presenting with worsening claudication and no history of trauma.
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