Bucci Federico, Ottaviani Nicolas, Plagnol Philippe
Department of Vascular Surgery, Centre Hospitalier Sud Gironde, Langon, France.
Ann Vasc Surg. 2011 Jul;25(5):698.e5-7. doi: 10.1016/j.avsg.2010.10.019. Epub 2011 Apr 17.
Iliac endofibrosis is a rare condition caused by chronic wall stress and a subsequent progressive fibrosis that usually affects the external iliac artery. It can present with intermittent claudication and is most commonly found in young athletes without significant risk factors for peripheral arterial disease. We present a case of acute thrombosis of the external iliac artery secondary to endofibrosis in a 38-year-old cyclist and describe the treatment options. For symptomatic patients and in case of long arterial occlusion, the treatment of choice is the surgical resection with autologous vein interposition.
髂内纤维变性是一种由慢性管壁压力及随后的进行性纤维化引起的罕见病症，通常影响髂外动脉。它可表现为间歇性跛行，最常见于没有外周动脉疾病显著危险因素的年轻运动员。我们报告一例38岁自行车运动员继发于纤维变性的髂外动脉急性血栓形成病例，并描述治疗方案。对于有症状的患者以及动脉长期闭塞的情况，治疗的选择是自体静脉移植的手术切除。
