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Case report
Asymptomatic bilateral common iliac artery dissections in previously undiagnosed vascular Ehlers-Danlos syndrome
  1. Matthew Lavoie and
  2. Jason Reese
  1. Department of Cardiology, Madigan Army Medical Center, Tacoma, Washington, USA
  1. Correspondence to Dr Matthew Lavoie; mattrlavoie{at}gmail.com

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.

  • cardiovascular medicine
  • genetics
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Footnotes

  • Contributors ML conducted the primary literature review and writing of the manuscript. JR contributed to the analysis of research, editing of the manuscript and provided guidance where needed.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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