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External iliac artery endofibrosis: a 40-year course
P Abraham1, J M Chevalier, J L Saumet
1Laboratoire d'Explorations Vasculaires et de Medicine du Sport, Centre Hospitalier Universitaire, Angers, France.
The Journal of Sports Medicine and Physical Fitness
|March 24, 1998
Summary
External iliac artery endofibrosis may stabilize in cyclists after intensive training stops. Surgery is only recommended for athletes aiming to continue high-level competition.
Area of Science:
- Vascular Surgery
- Sports Medicine
- Cardiovascular Research
Background:
- External iliac artery endofibrosis is a rare vascular condition primarily affecting elite cyclists.
- The long-term natural history of this condition remains largely unknown due to its recent description.
Observation:
- This report details a suspected forty-year spontaneous evolution of external iliac artery endofibrosis in a former professional cyclist.
- The patient's lesions appeared to stabilize after cessation of intensive training.
Findings:
- The study suggests that external iliac artery endofibrosis lesions may become stable when intense athletic training is discontinued.
- Spontaneous stabilization of the condition is possible without surgical intervention.
Implications:
- Non-symptomatic cases during daily activities or submaximal exercise may not require surgical treatment.
- Surgical intervention should be reserved for athletes who wish to resume competitive cycling and request the procedure.