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Case Reports
. 2019 Dec 1;12(11):e231537.
doi: 10.1136/bcr-2019-231537.

Asymptomatic bilateral common iliac artery dissections in previously undiagnosed vascular Ehlers-Danlos syndrome

Matthew Lavoie  1 , Jason Reese  2
Affiliations
Case Reports

Asymptomatic bilateral common iliac artery dissections in previously undiagnosed vascular Ehlers-Danlos syndrome

Matthew Lavoie et al. BMJ Case Rep. .

Abstract

We report a case of a 35-year-old woman found to have vascular Ehlers-Danlos syndrome (vEDS) after family history of sudden death due to aortic dissection in her otherwise healthy brother prompted further imaging workup and consideration of an underlying heritable genetic condition. CT angiogram of the aorta with intravenous contrast revealed an abdominal aortic artery dissection below the level of the renal arteries extending from the bifurcation into the left common iliac artery with an additional focal dissection of the right common iliac artery. To the author's knowledge, this is the first report of asymptomatic bilateral common iliac artery dissections as a part of the initial presentation of a patient with underlying vEDS. Additionally, this case highlights the importance of familial diagnostic screening in inherited vasculopathies. Clinical history, genetic testing and management are discussed.

Keywords: cardiovascular medicine; genetics.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT angiogram of the aorta shows left common iliac artery dissection (A) and right common iliac artery dissection (B).
See this image and copyright information in PMC

References

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