Male, with 41 years old, healthy, claudicating on exertion since 60 days, no right femoral pulse. He is a marathon’s athlete. There is a dissection on RCI, thrombosis at origin of REI, and LEI with various aneurysms. My diagnosis is fibromuscular dysplasia with aneurysm and thrombosis. There are few cases in literature: Surg Today. 2003;33(8):639-41. Isolated Iliac Artery Aneurysm Caused by Fibromuscular Dysplasia: Report of a Case J Vasc Surg 2004;40:1032-6.) Spontaneous dissection and rupture of common iliac artery in a patient with fibromuscular dysplasia: A case report and review of the literature on iliac artery dissections secondary to fibromuscular dysplasia I think that is a challenge case, because his age, bilateral disease, sub-occlusion of RII, occlusion of REI and dissection on RCI.
Dino Colli, MD