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Isolated hypogastric artery aneurysms.

B J Brin, R W Busuttil

    Archives of Surgery (Chicago, Ill. : 1960)
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Isolated hypogastric artery aneurysms are rare vascular conditions. Prompt surgical intervention is crucial due to high rupture rates and associated mortality.

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    Area of Science:

    • Vascular Surgery
    • Aortoiliac Disease

    Background:

    • Isolated hypogastric artery aneurysms are uncommon variants of aortoiliac aneurysmal disease.
    • These vascular lesions present diagnostic and management challenges.

    Purpose of the Study:

    • To analyze the clinical presentation, management, and outcomes of isolated hypogastric artery aneurysms.

    Main Methods:

    • A collected series of 82 isolated hypogastric artery aneurysms (6 from UCLA, 76 from literature).
    • Review of patient data including symptoms, rupture incidence, management strategies, and outcomes.

    Main Results:

    • 38% of aneurysms ruptured, with a 56% mortality rate.
    • Nonoperative management had a 71% mortality due to rupture.

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  • Proximal and distal ligation or endoaneurysmorrhaphy yielded the best results, while resection had 55% mortality.

    • Conclusions:

    • Prompt surgical therapy is indicated for all isolated hypogastric artery aneurysms.
    • Management strategies should prioritize effective aneurysm exclusion to minimize rupture risk and mortality.