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Revista chilena de cirugía

versão On-line ISSN 0718-4026


FUENZALIDA G, Juan Pablo et al. Spontaneous dissection of iliac artery related with excercise and ergotamine. A case report. Rev Chil Cir [online]. 2012, vol.64, n.6, pp.563-566. ISSN 0718-4026.

Introduction: Spontaneous dissection of the iliac artery (SDIA) is an extremely rare clinical manifestation, associated to different etiologies, and it usually shows an ischemia of the involved lower extremity. Clinical case: We report a case of a 48-year-old man, with past medical history of chronicle consumption of ergotamine, which presented left lower limb ischemia, while practicing physical exercise. An emergent contrast-enhanced computed tomography scan showed a spontaneous dissection of the common and the external left iliac artery. An endovascular therapy of the lesion was performed with self-expanding stents, achieving the reconstruction of the lesion, the recovery of the blood flow and of the lower limb ischemia. Conclusions: There are no previous descriptions of the association between ergotamine consumption, sport and this very rare pathology. Endovascular treatment represents a less invasive and, such as in our case report, successful management of the SDIA, and it should be considered among the alternative therapies.

Palavras-chave : Iliac artery; dissection; stent; sport; ergotamine.

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