Abstract
Fibromuscular disease is rarely observed in the external iliac artery. During the last 15 years, eight symptomatic cases were encountered in six women and two men whose ages ranged from 29 to 63 years (mean: 47 years). Clinical onset was always recent, either progressive with claudication (three cases) or sudden with abdominal and pelvic pain and acute ischemia due to dissection (five cases). Diagnosis was established by arteriograms showing either a typical appearance of fibromuscular hyperplasia or a segmental dissection or occlusion. Two patients had associated fibromuscular disease of the renal arteries. One of these patients had dysplastic aneurysm of the thyrocervical trunk. Histopathological findings were typical of medial fibromuscular hyperplasia in the seven cases examined. Even though transluminal dilatation is presently simple, adequate, and durable for the management of non-complicated forms, all of our cases were treated surgically either because they were observed before transluminal dilatation was readily available or because of associated dissection. Results of surgery were satisfactory in all cases except one with a mean follow-up of 12.6 years. One patient was reoperated upon 13 years later.
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References
LEADBETTER WF, BURKLAND CE. Hypertension in unilateral renal disease.J Urol 1938;39:611.
PALUBINSKAS AJ, PERLOFF D, NEWTON TH. Fibromuscular hyperplasia in extrarenal arteries.Radiology 1964;82:451–455.
PALUBINSKAS AJ, PERLOFF D, NEWTON TH. Fibromuscular hyperplasia: an arterial dysplasia of increasing clinical importance.AJR 1966;98:907–913.
TWIGG HL, PALMISANO PJ. Fibromuscular hyperplasia of the iliac artery.Am J Roentgenol 1965;95:418–423.
WYLIE EJ, BINKLEY FM, PALUBINSKAS AJ. Extrarenal fibromuscular hyperplasia.Am J Surg 1966;112:149–154.
THEVENET A, MARY H. Dysplasies et dissections des artères iliaques externes. In:Actualités Chirurgicales. Paris: Masson, 1977, pp. 17–19.
IWAI T, KONNO S, HIEIJIMA K, et al. Fibromuscular dysplasia in the extremities.J Cardiovasc Surg 1985;26:495–501.
WALTER JF, STANLEY JC, MEHIGAN JT, et al. External iliac artery fibrodysplasia.AJR 1978;131:125–128.
MEHIGAN JT, STONEY RJ. Arterial microemboli and fibromuscular dysplasia of the external iliac arteries.Surgery 1977;81:484–486.
SAUER L, REILLY LM, GOLDSTONE J, et al. Clinical spectrum of symptomatic external iliac fibromuscular dysplasia.J Vasc Surg 1990;12:488–496.
NAJAFI H. Fibromuscular hyperplasia of external iliac artery.Arch Surg 1966;92:394–396.
POLLIT J, BOLINO A, KURRAL JC. Symptomatic fibromuscular hyperplasia of external iliac artery.Vasc Surg 1971;5:115–119.
HORNE TW. Fibromuscular hyperplasia of the iliac arteries.Aust NZ J Surg 1975;45:415–417.
DASKALASKIS MK. Fibromuscular hyperplasia of external iliac arteries.West J Med 1978;128:345–347.
HOUSTON C, ROSENTHAL D, LAMIS PA, et al. Fibromuscular dysplasia of the external iliac arteries: surgical treatment by gradual internal dilatation technique.Surgery 1979;85:713–715.
BURRI B, FONTOLLIET C, RUEGSEGGER GH, et al. External iliac artery dissection due to fibromuscular dysplasia.Vasa 1983;12:76–78.
PARNELL AP, LOOSE AW, CHAMBERLAIN J. Fibromuscular dysplasia of the external iliac artery treatment by percutaneous transluminal angioplasty.Br J Radiol 1988;61:1080–1082.
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Thevenet, A., Latil, J.L. & Albat, B. Fibromuscular disease of the external iliac artery. Annals of Vascular Surgery 6, 199–204 (1992). https://doi.org/10.1007/BF02000263
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DOI: https://doi.org/10.1007/BF02000263