A ruptured aneurysm in persistent sciatic artery: a case report.

Ishida, Keiichi; Imamaki, Mizuho; Ishida, Atsushi; Shimura, Hitoshi; Miyazaki, Masaru · J Vasc Surg · 2005

case_report · Level V

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Abstract

Persistent sciatic artery (PSA) is a rare congenital anomaly, but in many cases it is a clinically important condition. PSA is susceptible to atherosclerotic degeneration, resulting in aneurysmal dilatation, occlusive thrombosis, or thromboembolization. PSA aneurysm is associated with distal embolization, sciatic neuropathy, or rupture. We describe a case of a patient with a ruptured PSA aneurysm treated by exclusion of the aneurysm and bypass between the common iliac artery and the PSA distal to the aneurysm, and discuss treatment of PSA aneurysm.

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