Abstract
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.