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ISOLATED COMMON ILIAC ARTERY ANEURYSM WITH SPECIFIC ANATOMICAL CONSIDERATIONS
1Hospital Sra. Da Oliveira - Guimarães, Portugal.
Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|April 26, 2022
Summary
Iliac artery aneurysms (IAA) are rare but can cause serious complications. This case highlights successful endovascular repair of a giant IAA, emphasizing the shift towards minimally invasive treatments.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aneurysm Management
Background:
- Iliac artery aneurysms (IAA) are uncommon, affecting less than 2% of the population, often involving the common iliac artery.
- Bilateral common IAA occur in about 50% of diagnosed cases.
- Deep pelvic location makes asymptomatic IAA detection challenging.
Observation:
- An 88-year-old male presented with a giant isolated iliac artery aneurysm (84mm diameter).
- Symptoms included lower abdominal discomfort and a pelvic mass over four months.
- The patient underwent successful endovascular exclusion using an aorto-uni-iliac endograft and femorofemoral bypass.
Findings:
- Endovascular repair is a viable option for complex iliac artery aneurysms.
- Giant IAA require tailored surgical approaches based on patient-specific anatomy.
- Successful exclusion of a large IAA was achieved with a combination of endograft and bypass.
Implications:
- Symptomatic IAA carry significant morbidity and mortality risks.
- The trend in IAA management favors endovascular approaches.
- Treatment selection for IAA depends on anatomical suitability, clinical status, and co-existing aneurysms.
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