External iliac artery fibrosis in endurance athletes successfully treated with bypass grafting

Ann Vasc Surg. 2013 Nov;27(8):1183.e1-4. doi: 10.1016/j.avsg.2013.01.012. Epub 2013 Aug 26.

Abstract

Endofibrosis of the external iliac artery is a rare cause of performance-limiting claudication in elite athletes. We describe a 47-year-old male competitive cyclist and a 52-year-old female former international triathlete, with unilateral and bilateral external artery occlusions, respectively, who presented with disabling claudication and an inability to cycle or run. Due to a long-segment occlusion, both were treated with Dacron bypass grafting. Both were able to return to competitive racing postoperatively.

MeSH terms

  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / physiopathology
  • Arterial Occlusive Diseases / surgery*
  • Bicycling
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Female
  • Fibrosis
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / surgery
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / pathology
  • Iliac Artery / surgery*
  • Intermittent Claudication / etiology
  • Intermittent Claudication / surgery
  • Male
  • Middle Aged
  • Physical Endurance*
  • Polyethylene Terephthalates
  • Prosthesis Design
  • Recovery of Function
  • Reoperation
  • Running
  • Swimming
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Polyethylene Terephthalates