TOI 9. A Rare Case of Bilateral External Iliac Artery Thrombosis due to Endofibrosis in a 33-Year-Old Female Triathlete

External iliac artery endofibrosis is a rare disease predominantly affecting young, male elite performance athletes. The disease is characterized by fibrosis and hypertrophy of the intimal layer of the arterial wall and is likely due to multiple factors, including “kinking” during repetitive hip flexion, psoas muscle hypertrophy compressing the artery, excessive and tortuous vessel length, and increased cardiac output with adaptive hypertension. These high-performance athletes typically present with unilateral lower extremity claudication at peak exercise .
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research