Teh Lip Gen, Sieunarine Kishore, Van Schie Greg, Vasudevan Thodur
Department of Vascular Surgery, Royal Perth Hospital, Australia.
J Endovasc Ther. 2003 Feb;10(1):163-6. doi: 10.1177/152660280301000131.
To review the clinical features and management of spontaneous iliac dissections.
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.
Spontaneous dissection of the iliac artery is a rare but important condition to suspect in high performance athletes complaining of leg pain following exercise.
回顾自发性髂动脉夹层的临床特征及治疗方法。
一名60岁健康的竞技自行车运动员在剧烈运动后出现急性短距离跛行。血管造影显示一个夹层瓣从右髂总动脉延伸至髂外动脉。在近端入口处放置了一个裸支架，但未消除假腔；需要进行开放手术干预。
髂动脉自发性夹层是一种罕见但在抱怨运动后腿痛的高性能运动员中需怀疑的重要病症。
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