[Dissecting aneurysm of the external iliac artery. An unusual course of endofibrosis in an athlete].
A 42-year-old man was consulted because of a pain in his left leg. He was a highly trained biker since 20 years. The echo-Doppler and arteriography evidenced a stenosis, probably due to endofibrosis of the external iliac artery. In addition, it showed an aneurysm and an intimal dissection of this artery. The arteriography confirmed this diagnosis, and normal aspect of the other arteries. Neither conservative nor endovascular treatments were possible because of the anatomic lesions. We resected the external iliac artery and performed a by-pass with the great saphenous. The result at the 5th month was clinically good. The echo-Doppler control did not show any abnormality. The natural course of the endofibrosis of athletes is unknown, although stenosis, revealed by intermittent claudication is usually observed. Only a few cases of dissection and no aneurysmal degeneration have been described before.
Del Gallo
G
G
Service de Chirurgie Vasculaire, Hôpital Charles Nicolle, Rouen.
Plissonnier
D
D
Planet
M
M
Peillon
C
C
Testart
J
J
Watelet
J
J
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D001642:Bicycling / Q000293:injuries*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D005355:Fibrosis; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D008297:Male; D014463:Ultrasonography
A nevrisme disséquant de l'artère iliaque externe. Une evolution inhabituelle de l'endofibrose du sportif.