Wout van Aert's participation at this year's Giro d'Italia is in doubt, his Team Visma-Lease a Bike said after the Belgian rider underwent surgery for fractures sustained in a crash at the Dwars door Vlaanderen one-day race.

Van Aert crashed 65 kilometres from the finish on Wednesday, following which he pulled out of the Tour of Flanders and Paris-Roubaix.