Images in Vascular Medicine: Vascular complications in a young patient with vascular Ehlers–Danlos syndrome.

A 23-year-old man was referred to the vascular medicine clinic after experiencing a spontaneous splenic artery aneurysm rupture, requiring coiling, a few months previously. Owing to the patient's remarkable CTA findings in the setting of his young age and lack of significant prior medical history other than spontaneous arterial rupture, the patient was referred for genetic testing to evaluate for connective tissue disorder. The mild arterial wall irregularities seen on carotid ultrasound and the faint beading of the distal left ICA seen on CTA, along with the presence of aneurysms and dissections, meant fibromuscular dysplasia (FMD) was considered; however, connective tissue disease was thought to be much more likely. [Extracted from the article]