Case Report  |   December 2018
Spontaneous Infrarenal Aortic Dissection in an Athlete Managed Emergently With Endovascular Stent Grafts, Occluders, and Femoral-Femoral Artery Bypass
Author Notes
  • From Geisinger Medical Center in Danville, Pennsylvania (Dr Callahan), and Geisinger Holy Spirit, Carlisle Regional Medical Center in Pennsylvania (Dr Campbell). Dr Callahan is a fourth-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Morgan Callahan, DO, 100 N Academy Dr, Danville, PA 17822-9800. Email: callahan.morgan@gmail.com
     
Article Information
Cardiovascular Disorders / Emergency Medicine / Sports Medicine
Case Report   |   December 2018
Spontaneous Infrarenal Aortic Dissection in an Athlete Managed Emergently With Endovascular Stent Grafts, Occluders, and Femoral-Femoral Artery Bypass
The Journal of the American Osteopathic Association, December 2018, Vol. 118, 827-831. doi:10.7556/jaoa.2018.176
The Journal of the American Osteopathic Association, December 2018, Vol. 118, 827-831. doi:10.7556/jaoa.2018.176
Abstract

While competing in an obstacle course race, a 57-year-old male athlete developed left groin and leg pain. Several days later, infrarenal aortic dissection with clinically worsening left leg ischemia was diagnosed. An emergent repair was performed and consisted of an aorto-uni-iliac endovascular stent graft, an occluder in the left iliac artery, and a right-to-left femoral-femoral artery bypass. To the authors’ knowledge, the present report is the first case of a spontaneous infrarenal aortic dissection in a competitive athlete associated with participation in an extreme athletic event.

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