Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report

Abstract

Spontaneous isolated dissection of the iliac artery (SID-IA) is a rare pathologic condition. The predisposing factors and best treatment strategies are still being debated. We present the case of a 59-year-old male with acute right lower limb ischemia characterized by the sudden occurrence of rest pain, hypoesthesia, and paresis. Angiography showed SID-IA extending down to the femoral bifurcation. The patient had no risk factors for SID-IA; however, he survived an electrocution and had arterial hypertension at admission. Endovascular revascularization was successfully performed, with complete restoration of limb blood flow and remission of symptoms. Follow-up ultrasonography at 1 year confirmed stent patency and absence of clinical symptoms. Endovascular stenting is a good therapeutic option for symptomatic SID-IA without rupture.

Coarctation of the aorta complicated with bilateral iliac artery dissection: A rare case

“…Multiple studies support that connective tissue disorders are the predominant cause of isolated IAD. 8,9 However, in our case, there were no significant immune abnormalities or signs of arterial atherosclerosis as revealed by CTA. Notably, IAD can also occur due to exercise.…”

Multiple and Multidirectional Fissure Bleedings in a Patient With a Spontaneous Isolated Dissection of the Iliac Artery

“…However, it is challenging to identify the damage to the blood vessels that may cause the disease using IVUS because it cannot demonstrate aortic plaques more precisely than NOGA [ 6 ]. The predisposing risk factors of spontaneous isolated iliac artery dissection include traumatic and non-traumatic, such as cystic medial degeneration and fibromuscular dysplasia [ 10 , 11 ]. Our patient did not have a history of trauma and no findings suggestive of diseases such as cystic medial degeneration.…”