Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete Jillian Sullivan, APRN, Nicholas Bellas, BS, Jonathan.

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Presentation transcript:

Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete Jillian Sullivan, APRN, Nicholas Bellas, BS, Jonathan Thoens, MD, James Gallagher, MD, Thomas Divinagracia, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 58-60 (March 2019) DOI: 10.1016/j.jvscit.2018.11.008 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Left, A three-dimensional reconstruction of the computed tomography angiography image showing occlusion of the left and right proximal external iliac arteries with reconstitution at the distal external iliac arteries, with prominent collaterals from the internal iliac arteries. Right, A three-dimensional reconstruction after bilateral intervention. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 58-60DOI: (10.1016/j.jvscit.2018.11.008) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Intraoperative photograph demonstrating native right external iliac artery thrombosis. The procedure was an open thrombectomy performed through a longitudinal arteriotomy. Proximal control was obtained with circumferential vessel loop control of the common and internal iliac artery, and distal control was obtained with circumferential vessel loop control of the distal external iliac artery just above the inguinal ligament. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 58-60DOI: (10.1016/j.jvscit.2018.11.008) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Complete right external iliac artery with transposition graft. The procedure and proximal and distal control are described in Fig 2. GSV, Great saphenous vein. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 58-60DOI: (10.1016/j.jvscit.2018.11.008) Copyright © 2018 The Authors Terms and Conditions