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Hybrid Repair of a Persistent Sciatic Artery Aneurysm
Madeleine de Boer1, Simon Joseph1, Timothy Shiraev1,2
1Department of Vascular Surgery, 2205Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Vascular and Endovascular Surgery
|June 24, 2022
Summary
Persistent sciatic artery aneurysms are rare. A hybrid approach combining bypass, occlusion, and resection successfully treated a patient with this condition, offering a new management option.
Area of Science:
- Vascular Surgery
- Congenital Abnormalities
- Interventional Radiology
Background:
- Persistent sciatic artery is a rare congenital anomaly with a low incidence.
- Aneurysmal degeneration occurs in up to 48% of patients, leading to lower limb ischemia.
- Optimal management strategies for persistent sciatic artery aneurysms remain undetermined.
Observation:
- A 69-year-old male presented with a persistent sciatic artery aneurysm.
- The patient experienced claudication and lower limb ischemia due to distal embolization.
Findings:
- A hybrid endovascular and open surgical approach was employed.
- Treatment involved a femoropopliteal bypass, Amplatzer plug occlusion of the aneurysm, and subsequent resection.
Implications:
- This case highlights the successful application of a hybrid approach for managing persistent sciatic artery aneurysms.
- The described technique offers a potential alternative for complex cases where traditional methods may be insufficient.
- Further research into hybrid strategies could refine treatment protocols for this rare pathology.
