Limb ischaemia in a stanford B aortic dissection into an abdominal aortic aneurysm

Aortic dissection presenting with acute lower limb ischaemia is not uncommon. However, stanford B dissection into a pre-existing abdominal aortic aneurysm resulting in bilateral lower limb ischaemia has not been reported in the literature.(1) This patient underwent unsuccessful revascularisation of the lower limbs with an axillo-bifemoral bypass procedure.