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A Case of Spontaneous Common Iliac Atery Dissection

  • Noh, Juho (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital) ;
  • Rhee, Il (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital) ;
  • Kim, Minsung (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital) ;
  • Lee, Jonghyun (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital) ;
  • Kim, Kisu (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital) ;
  • Park, Byungwhan (Division of Cardiology, Department of Internal Medicine, Good Samsun Hospital)
  • Received : 2016.07.29
  • Accepted : 2016.10.12
  • Published : 2018.12.31

Abstract

Spontaneous and isolated dissection of the limb arteries without involvement of the aorta is extremely rare, and has been reported previously in pregnant patients in association with collagen vascular disease, and in cases of high-energy trauma or intensive activity in athletes. There is no consensus yet on indications for medical or surgical therapeutic modality. Due to the rarity of spontaneous dissection of external iliac artery, its natural history has been poorly described. A healthy 50-year-old male with normotension was admitted with an acute onset of left flank pain. Left external iliac artery dissection was diagnosed by abdominal computed tomography.

Keywords

References

  1. Guthrie W, Maclean H. Dissecting aneurysms of arteries other than the aorta. J Pathol 1972;108:219-35. https://doi.org/10.1002/path.1711080308
  2. The LG, Sieunarine K, Van Schie G, Vasudevan T. Spontaneous common iliac artery dissection after exercise. J Endovasc Ther 2003;10:163-6.
  3. Willson TD, Revese E, Podbielski FJ, Blecha MJ. External iliac artery dissection secondary to endofibrosis in a cyclist. J Vasc Surg 2010;52:219-21. https://doi.org/10.1016/j.jvs.2010.02.259
  4. Savolainen H, Heller G, Fleiscmann A, Widmer MK, Carrel TP, Schmidli J. Spontaneous dissection of common iliac artery. A case report. Vasc Endovascular Surg 2004;38:263-5. https://doi.org/10.1177/153857440403800311
  5. Goodman KD, Sule HP. Bilateral spontaneous dissecting common iliac artery aneurysms: a rare presentation. J Emerg Med 2013;44:757-9. https://doi.org/10.1016/j.jemermed.2012.07.077
  6. Luck I, Hanschke D, Geissler C, Gruss JD. [Spontaneous dissection of the external iliac artery due to fibromuscular dysplasia]. Vasa 2003;31:115-21.
  7. Fernandez AL, Herreros JM. Spontaneous and isolated dissection of the common iliac artery. J Cardiovasc Surg (Torino) 1997;38:377-9.
  8. Whchulis AR, Kincaid OW, Wallace RB. Primary dissecting aneurysm of peripheral arteries. Mayo Clin Proc 1969;44:804-10.
  9. Honjo O, Yamada Y, Kuroko Y, Kushida Y, Une D, Hioki K. spontaneous dissection and rupture of common iliac artery in patient with fibromuscular dysplasia: a case report and review of the literature on iliac artery dissections secondary to fibromuscular dysplasia. J Vasc Surg 2004;40:1032-6. https://doi.org/10.1016/j.jvs.2004.08.020
  10. Kwak HS, Han YM, Chung GH, Yu HC, Jeong YJ. Isolated spontaneous dissection of the common iliac artery: percutaneous stent placement in two patients. Cardiovasc Intervent Radiol 2006;29:883-5. https://doi.org/10.1007/s00270-005-0087-z
  11. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation, 2006;113:e463-654. https://doi.org/10.1161/circ.113.4.463
  12. Tendera M, Aboyans V, Bartelink M-L, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J, 2011;32:2851-906. https://doi.org/10.1093/eurheartj/ehr211