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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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A ruptured aneurysm in persistent sciatic artery: a case report.

Keiichi Ishida1, Mizuho Imamaki, Atsushi Ishida

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Persistent sciatic artery (PSA) is a rare congenital anomaly. Ruptured PSA aneurysms require surgical repair, often involving exclusion and bypass, to prevent complications like distal embolization.

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Area of Science:

  • Vascular Surgery
  • Congenital Anomalies
  • Medical Case Reports

Background:

  • Persistent sciatic artery (PSA) is a rare congenital vascular anomaly.
  • PSA is prone to degenerative changes, including aneurysms, thrombosis, and thromboembolization.
  • PSA aneurysms can lead to serious complications such as distal embolization, sciatic neuropathy, and rupture.

Observation:

  • A case of a ruptured PSA aneurysm is presented.
  • The patient underwent surgical intervention for the ruptured aneurysm.

Findings:

  • The treatment involved excluding the aneurysm and performing a bypass.
  • The bypass connected the common iliac artery to the distal PSA.
  • This surgical approach successfully managed the ruptured PSA aneurysm.

Implications:

  • This case highlights the importance of recognizing and managing PSA aneurysms.
  • Surgical exclusion and bypass is a viable treatment option for ruptured PSA aneurysms.
  • Effective management can prevent severe complications associated with PSA aneurysms.