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Updated: Sep 6, 2025
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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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Isolated common iliac artery aneurysm with specific anatomical considerations
Pedro Pinto Sousa1, Pedro Sá Pinto2
1Hospital Sra. Da Oliveira - Guimarães, Portugal.
Summary
Iliac artery aneurysms (IAA) are rare but can cause severe complications. This case highlights successful endovascular repair of a giant IAA in an elderly patient, emphasizing tailored treatment approaches.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aneurysm Management
Background:
- Iliac artery aneurysms (IAA) are uncommon, affecting less than 2% of the population.
- Common iliac artery involvement is typical, ranging from 70-90%.
Observation:
- A clinical case of an 88-year-old male with an isolated giant IAA (84mm diameter) is presented.
- Symptoms included four months of lower abdominal discomfort and a pelvic hyperemic mass.
Findings:
- The giant IAA was successfully excluded using an endovascular approach with an aorto-uni-iliac endograft.
- A femorofemoral bypass was performed following the endograft placement.
Implications:
- Symptomatic IAA carry high morbidity and mortality, often presenting deep within the pelvis.
- Endovascular repair is increasingly favored, but treatment choice depends on individual patient anatomy and stability.
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