A 35-year-old endurance athlete was referred for
unexplained claudication-like complaints in his left lower limb. Elsewhere he
was treated for functional compartment syndrome and operated for poplitealartery entrapment syndrome which proved unsuccessful.
He complained of a
painful and swollen left thigh at maximal exercise. Clinical investigation,
ankle-to-brachial indices at rest and an additional magnetic resonance
angiography were normal.
An incremental treadmill test showed pathological ankle-to-brachial
pressure measurement, duplex ultrasound imaging confirmed flow limitation and
showed lesions of endofibrosis in the left external iliac artery. Surgery
consisted of performing an endarterectomy of the external iliac artery with
venous patching. Read more.................
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