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Isolated common iliac artery aneurysm: a rare entity.
Vikas Deep Goyal1, Sanjay Sood2, Bharti Gupta3
1Assistant Professor, Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC Kangra , Tanda, Himachal Pradesh, India .
Journal of Clinical and Diagnostic Research : JCDR
|January 14, 2015
Summary
A rare case of isolated right common iliac artery aneurysm in a hypertensive male was successfully treated with open surgical repair. The patient recovered well after aneurysmorrhaphy using a Poly Tetra Fluoro Ethylene graft.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Isolated iliac artery aneurysms are uncommon vascular conditions.
- Hypertension is a significant risk factor for aneurysm development.
Observation:
- A 65-year-old male presented with abdominal pain and distension, exhibiting a pulsatile mass in the right iliac fossa.
- Computed tomographic (CT) angiography confirmed a large right common iliac artery aneurysm, with no other aortic or iliac aneurysms identified.
Findings:
- Surgical intervention was necessary due to the large size and rupture risk of the aneurysm.
- Open surgical repair (aneurysmorrhaphy) using a Poly Tetra Fluoro Ethylene graft was performed due to unfavorable anatomy for endovascular methods.
Implications:
- Successful open surgical repair of isolated iliac artery aneurysms is a viable treatment option.
- Prompt diagnosis and surgical management are crucial for preventing life-threatening rupture.
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