Disección espontánea de arteria ilíaca asociada a ejercicio y uso de ergotamina
| Autor: | Juan Pablo Fuenzalida G, Eitan Schwartz Y, Jorge Vergara C, Rubén Soumastre Ch, Angel Puentes R, Sandra Osorio, Sebastián Terrazas F |
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| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Revista chilena de cirugía v.64 n.6 2012 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0718-4026 |
| DOI: | 10.4067/s0718-40262012000600011 |
| Popis: | Spontaneous dissection of iliac artery related with excercise and ergotamine. A case report Introduction: Spontaneous dissection of the iliac artery (SDIA) is an extremely rare clinical manifes- tation, associated to different etiologies, and it usually shows an ischemia of the involved lower extremity. Clinical case: We report a case of a 48-year-old man, with past medical history of chronicle consumption of ergotamine, which presented left lower limb ischemia, while practicing physical exercise. An emergent contrast-enhanced computed tomography scan showed a spontaneous dissection of the common and the external left iliac artery. An endovascular therapy of the lesion was performed with self-expanding stents, achieving the reconstruction of the lesion, the recovery of the blood flow and of the lower limb ischemia. Conclusions: There are no previous descriptions of the association between ergotamine consumption, sport and this very rare pathology. Endovascular treatment represents a less invasive and, such as in our case report, successful management of the SDIA, and it should be considered among the alternative therapies. |
| Databáze: | OpenAIRE |
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