Acute limb ischemia secondary to external iliac and common femoral artery dissection in a body builder

Abstract

Spontaneous external iliac artery dissection in highly trained athletes is becoming more recognized, but the reason as to why they are occurring remains a mystery. We present a patient with acute limb ischemia secondary to arterial dissection after strenuous exercise. Imaging showed complete occlusion of the distal common iliac artery, and the patient underwent successful revascularization of the right lower extremity using a hybrid approach.

Keywords

• External iliac artery
• Common femoral artery
• Dissection
• Interposition graft