External Iliac Artery Endofibrosis in a Female Cyclist: A Case Report
Autor: | Lydia Wuarin, Damiano Mugnai, Gaia Pollorsi, Gabriel Verdon, Nicolas Paul Henri Murith, Christoph Huber |
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Rok vydání: | 2018 |
Předmět: |
Adult
medicine.medical_specialty Intimal hyperplasia Early Recurrence medicine.medical_treatment 030204 cardiovascular system & hematology Balloon Iliac Artery 030218 nuclear medicine & medical imaging 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Recurrence Angioplasty medicine Humans ddc:617 business.industry Drug-Eluting Stents General Medicine External iliac artery endofibrosis Intermittent Claudication medicine.disease Fibrosis Surgery Bicycling Treatment Outcome Athletes Retreatment Primary treatment Female medicine.symptom Cardiology and Cardiovascular Medicine Claudication business Angioplasty Balloon Magnetic Resonance Angiography Rare disease |
Zdroj: | Annals of Vascular Surgery, Vol. 55 (2019) pp. 310.e1-310.e4 |
ISSN: | 1615-5947 0890-5096 |
Popis: | External iliac artery endofibrosis is a rare disease described mainly in male endurance athletes. It presents as claudication of the lower limb during near-maximum effort. The patients lack the usual risk factors for atherosclerosis, which makes diagnosis challenging. We present a case of external iliac artery endofibrosis in a female competitive cyclist. The initial surgical management was complicated by early recurrence due to intimal hyperplasia. After secondary drug-eluting balloon angioplasty, the patient was able to resume competition. As such, it is important to maintain a high index of suspicion when evaluating a patient presenting with claudication symptoms in this setting. Primary treatment is surgical, and in cases of early recurrence angioplasty may be indicated. Most patients can return to full activity after healing is complete. |
Databáze: | OpenAIRE |
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