Spontaneous common iliac artery dissection after exercise.
OBJECTIVE
To review the clinical features and management of spontaneous iliac dissections.


METHODS
A healthy 60-year-old competitive cyclist presented with acute onset of short-distance claudication following vigorous exercise. Angiography showed a dissection flap extending from the right common iliac artery to the external iliac artery. An uncovered stent was placed across the proximal entry site but did not obliterate the false lumen; open surgical intervention was required.


CONCLUSIONS
Spontaneous dissection of the iliac artery is a rare but important condition to suspect in high performance athletes complaining of leg pain following exercise.
Teh
Lip Gen
LG
Department of Vascular Surgery, Royal Perth Hospital, Australia. lipteh@usa.com
Sieunarine
Kishore
K
Van Schie
Greg
G
Vasudevan
Thodur
T
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000792:Angiography; D001642:Bicycling; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents