Rabellino M, Garcia-Nielsen L, Gonzalez G, Baldi S, Zander T, Maynar M.

A 46-year-old female patient was admitted with signs of lower limb ischemia. Her examination
demonstrated a nonpalpable distal pulse. Computed tomography angiography revealed an anomalous origin of both renal arteries (A, B) and severe aortic narrowing between the renal arteries, confirmed by the angiogram (C). The diagnosis was middle aortic syndrome (1). Endovascular treatment was decided on, and a balloon-expandable covered stent (Jomed, Abbott Laboratories, Abbott Park, Illinois) was placed, with good stent expansion (D). Physical examination revealed distal pulse recovery. At 5 months, the patient remains asymptomatic.

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