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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\u2019s 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.<\/jats:p>","DOI":"10.1136\/bcr-2019-231537","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T05:40:21Z","timestamp":1575265221000},"page":"e231537","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Asymptomatic bilateral common iliac artery dissections in previously undiagnosed vascular Ehlers-Danlos syndrome"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3451-7510","authenticated-orcid":false,"given":"Matthew","family":"Lavoie","sequence":"first","affiliation":[{"name":"Department of Cardiology, Madigan Army Medical Center, Tacoma, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Reese","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Madigan Army Medical Center, Tacoma, Washington, 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