Dissection of the external iliac artery in highly trained athletes.

Full Abstract

We report a series of four acute external iliac artery dissections occurring in three patients within days of completion of ultraendurance athletic events. Acute dissection of the external iliac artery in highly trained athletes after competition has not been previously documented. A retrospective review of three cases was performed with subsequent follow-up, including imaging and hemodynamic measurements. Dissection was suspected on the basis of duplex imaging results in one case, and arteriography confirmed dissection in all cases. All patients were endurance athletes over the age of 40 years. One patient was found to have bilateral lesions. Treatment in two cases was initiated with percutaneous transluminal angioplasty, one with a successful result and subsequent Plamaz stent placement. In the other case percutaneous transluminal angioplasty was unsuccessful, and operative repair was required with the placement of a graft. The final patient who had bilateral involvement was treated conservatively. At a mean follow-up of 32 months, there have been no complications, and all patients have normal resting hemodynamics. Follow-up duplex imaging shows healing of the dissections in the untreated patient. Histopathologic study in the patient treated with operation disclosed dissection in an otherwise normal arterial wall. Highly trained athletes over the age of 40 are susceptible to external iliac artery dissection, and successful treatment has been achieved by surgical, endovascular, and conservative therapies.

Author information

Author/s: Cook, P S (PS); Erdoes, L S (LS); Selzer, P M (PM); Rivera, F J (FJ); Palmaz, J C (JC);

Affiliation: Department of Diagnostic Imaging, Saint Joseph Hospital, Denver, Colo., USA.

Journal and publication information

Publication Type: Case Reports; Journal Article; Review

Journal: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter (J Vasc Surg), published in UNITED STATES. (Language: eng)

Reference: 1995-Aug; vol 22 (issue 2) : pp 173-7

Dates: Created 1995/09/14; Completed 1995/09/14; Revised 2005/11/16;

PMID: 7637118, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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