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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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True superior gluteal artery aneurysm.
Jason A Fried1, Lauren M Wright2
1Division of Vascular Surgery, Cuyahoga Falls Surgical Associates, Cuyahoga Falls, Ohio.
Journal of Vascular Surgery Cases
|November 15, 2019
Summary
True gluteal artery aneurysms (GAAs) are rare, accounting for less than 1% of all aneurysms. Endovascular coil embolization offers an effective and safe treatment for these rare vascular conditions.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Gluteal artery aneurysms (GAAs) are uncommon, representing less than 1% of all aneurysms.
- True GAAs are rarer than false GAAs, with only 20 reported cases prior to this study.
- Atherosclerotic origin is a rare cause of true GAAs.
Observation:
- A 72-year-old woman presented with a suspected true gluteal artery aneurysm.
- Pelvic computed tomography indicated a significant GAA measuring 7.2 x 4.9 cm.
- The patient underwent a successful endovascular procedure for diagnosis and treatment.
Findings:
- This case represents the twenty-first reported true GAA and the sixth of atherosclerotic origin in the English literature.
- Endovascular coil embolization was utilized for definitive treatment.
- The procedure resulted in surgical and clinical success.
Implications:
- Endovascular embolization is an effective and safe treatment modality for gluteal artery aneurysms.
- This case contributes to the limited literature on true atherosclerotic GAAs.
- Minimally invasive endovascular techniques are valuable for managing rare vascular pathologies.
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