1. Functional magnetic resonance angiography in the diagnosis of iliac artery endofibrosis in an endurance runner
- Author
-
David A. Robinson, Saissan Rajendran, and Tommy Y. Cai
- Subjects
medicine.medical_specialty ,Duplex ultrasonography ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Iliac Artery ,Magnetic resonance angiography ,Running ,03 medical and health sciences ,0302 clinical medicine ,Full recovery ,Rare Disease ,medicine ,Humans ,030212 general & internal medicine ,Endarterectomy ,Iliac artery ,medicine.diagnostic_test ,business.industry ,General Medicine ,Middle Aged ,Vascular surgery ,Fibrosis ,Magnetic Resonance Angiogram ,Female ,Radiology ,medicine.symptom ,Claudication ,business ,Magnetic Resonance Angiography - Abstract
A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the presence of flow-limiting stenoses in the left external iliac artery consistent with a diagnosis of left external iliac artery endofibrosis. She successfully underwent a left external iliac endarterectomy with vein patch repair and returned to full physical activity soon after. A year following full recovery from her original operation, she presented with similar symptoms on the right side and was managed in a similar manner. This report illustrates an unusual case of bilateral iliac artery endofibrosis occurring in an older endurance runner. We also present a novel diagnostic modality of pre-exercise and postexercise magnetic resonance angiography for iliac endofibrosis.
- Published
- 2019