THE VAST majority of patients suffering from intermittent claudication of the lower extremities have arteriosclerotic occlusion of the terminal aorta, iliac, or femoral arteries. Occasional cases, however, have been reported in which the arterial stenoses were caused by lesions other than atherosclerotic changes. The patient under discussion is an exceptional case in whom symptomatic fibromuscular hyperplasia of both external iliac arteries led to complete excision and autogenous vein graft replacement of the involved arteries with excellent results. To our knowledge a similar case has not been previously reported.
Report of Case
A 62-year-old housewife had experienced progressive limitation in her walking ability due to pain and weakness in the last two years prior to admission. Careful questioning confirmed the presence of an intermittent claudication of one block distance bilaterally in the calf muscles. There were no other symptoms and past history was unremarkable except for a mild systolic hypertension. The
NAJAFI H. Fibromuscular Hyperplasia of the External Iliac ArteriesAn Unusual Cause of Intermittent Claudication. Arch Surg. 1966;92(3):394-396. doi:10.1001/archsurg.1966.01320210074014