Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization.

McEnaney, Ryan M; Baril, Donald T; Gupta, Navyash; Marone, Luke K; Makaroun, Michel S; Chaer, Rabih A · J Vasc Surg · 2009

case_report · Level V

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Abstract

The presence of a persistent sciatic artery is a rare congenital vascular malformation. Complications associated with aneurysmal degeneration of this aberrant vessel include rupture, thrombosis, and embolization with obliteration of outflow vessels. We describe the case of an 82-year-old female presenting with critical limb ischemia due to embolization from a partially thrombosed persistent sciatic artery aneurysm. Successful treatment was achieved via a common femoral to posterior tibial artery bypass with the great saphenous vein and vascular plug embolization of the aneurysm.

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