Akuter Verschluss der linken Iliakalarterie bei einem Marathonläufer

Abstract

We report a case of spontaneous iliac occlusion in a 44-year-old male patient after long-distance running. Atherogenic risk factors like hypertension, diabetes, hypercholesterolemia and smoking were missing. Spontaneous iliac occlusion is extremely rare and only a few cases have been documented. Angiography showed occlusion of the left iliac artery with collateral flow via the obturator artery to the common femoral artery. Thrombectomy was performed but reocclusion occurred. An iliacofemoral bypass, arterial lysis and bypass thrombectomy was necessary within a few months. At the last follow-up visit two years afterwards the patient was symptom-free. This case indicates that exercise-dependent blood flow disturbances in long-distance-runners could produce changes of the intima.

Intensive Long Distance Running as a Possible Cause of Multiple Splanchnic Arterial Aneurysms: A Case Report

“…Long-distance running has been implicated as a cause of various cardiovascular and gastrointestinal disorders or abnormalities, such as iliac artery endofibrosis [ 7 , 8 ], lower leg artery stenosis or occlusion [ 9 ], arterial dissection [ 10 ], left sided ventricular hypertrophy [ 11 ], increased vascular compliance [ 12 ], ischemic colitis [ 13 , 14 ], hyponatremia [ 15 ], myoglobinuria, increased troponin, leukocyte abnormalities [ 16 ], coagulopathy and sudden death [ 17 ]. A reduced arterial compliance and stiffness can induce endofibrosis or stenosis in the aorta, large arteries and visceral arteries of long distance runners.…”