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Bilateral dissection of external iliac artery
Sumio Fukui1, Emira Chelbi, Nikolaos Paraskevas
1Department of Vascular Surgery, Fondation-Hôpital Saint-Joseph, Paris, France. sumio_fukui@yahoo.com
Annals of Vascular Surgery
|May 9, 2007
Summary
Bilateral external iliac artery (EIA) dissection is rare but possible, especially with persistent causes like intense bicycling. This case highlights the need for careful monitoring after initial dissection.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Sports Medicine
Background:
- External iliac artery (EIA) dissection is an uncommon vascular emergency.
- Bilateral involvement is exceptionally rare, posing diagnostic and therapeutic challenges.
Observation:
- A 49-year-old male cyclist presented with left EIA dissection causing claudication, treated with iliofemoral vein graft bypass.
- Two years later, he developed right EIA dissection with similar symptoms and treatment.
Findings:
- Histopathology confirmed EIA dissection in both instances, with no other arterial wall abnormalities.
- This suggests a persistent underlying mechanism may predispose to recurrent or bilateral EIA dissection.
Implications:
- Bilateral EIA dissection can occur, particularly in athletes with repetitive vascular stress.
- Vigilant follow-up is crucial for patients experiencing initial EIA dissection to detect contralateral involvement.
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