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Totally occluded abdominal aorta

Description

A 58-year-old white male with history of smoking and HTN presented to the hospital with progressive worsening numbness in both feet extending to his knees with slight blue discoloration of his feet. On physical exam patient was noted to have decreased but symmetric pulses. CT angiography abdominal aorta and iliofemoral with and without IV contrast study was performed which interestingly noted totally occluded abdominal aorta (arrow) just above level of the renal arteries. Given this findings, patient underwent aortobifemoral bypass surgery.

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