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Isolated iliac artery aneurysm and its management
1Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Japan.
Cardiovascular Surgery (London, England)
|August 1, 1994
Summary
Iliac artery aneurysms are rare but serious, with a high rupture risk and potential for urologic complications. Early diagnosis and elective surgery are crucial for patient survival.
Area of Science:
- Vascular Surgery
- Medical Case Review
Background:
- Iliac artery aneurysms are uncommon compared to abdominal aortic aneurysms.
- Aneurysms can cause significant complications, including rupture and ureteral obstruction.
Purpose of the Study:
- To review the clinical presentation, treatment, and outcomes of patients with iliac artery aneurysms.
- To highlight the importance of early diagnosis and surgical intervention.
Main Methods:
- Retrospective review of 16 patients with 44 iliac artery aneurysms (1981-1992).
- Analysis of aneurysm characteristics, complications, surgical procedures, and outcomes.
Main Results:
- High incidence of isolated iliac artery aneurysms (11.7% of all aneurysms).
- Rupture occurred in 25% of patients, with a 50% mortality rate.
- Urologic complications (ureteral stenosis, hydronephrosis) were noted in six patients.
Conclusions:
- Early diagnosis and elective surgery are vital for improving survival rates.
- Preventing colon ischemia and addressing ureteral entrapment are important surgical considerations.