Infrarenal abdominal aortic aneurysms associated with proximal dissection

A case is described presenting with aortic dissection who was found to have a significant infrarenal aortic aneurysm. Various treatment options were considered for both conditions including open operation, conservative management and stent repair. The paieint was managed conservatively for six months whilst the dissection ‘matured’ when the infrarenal aneurysm was repaired by open operation preserving both the true and false proximal lumens to avoid renal or visceral ischaemia.