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Surgical management of concurrent, coeliac and bilateral iliac artery aneurysms
I E Rodrigus1, M C Berry, A Gdeedo
1Department of Surgery, Antwerp University Hospital and Medical School, Edegem, Belgium.
Insights
A 76-year-old man with coeliac axis and iliac artery aneurysms underwent successful surgical repair. This case highlights the management of complex aortic and iliac aneurysms.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Arterial Disease Management
Background:
- Iliac artery aneurysms are uncommon but can lead to serious complications.
- Coeliac axis aneurysms are rare and often asymptomatic.
- Atherosclerosis is a common underlying cause of arterial aneurysms.
Observation:
- A 76-year-old male patient presented with incidentally discovered bilateral common iliac artery aneurysms.
- Computed tomography revealed atherosclerotic plaques in the aorta, bilateral common iliac artery aneurysms, and a coeliac axis aneurysm.
- Digital subtraction arteriography confirmed the vascular findings.
Findings:
- Surgical intervention included resection of the coeliac artery aneurysm.
- An aortobifemoral bypass was performed with successful reimplantation of the inferior mesenteric artery.
- The patient recovered well and was discharged 2 weeks post-operation.
Implications:
- This case demonstrates a successful surgical approach for managing combined coeliac axis and iliac artery aneurysms.
- Reviewing the incidence, natural history, and management strategies is crucial for optimizing patient outcomes.
- Effective surgical techniques are vital for treating complex arterial aneurysm disease.
Abstract:
A 76-year-old man was admitted with bilateral common iliac artery aneurysms found incidentally on computed tomography. Transfemoral digital subtraction arteriography demonstrated atherosclerotic plaques in the aorta with bilateral common iliac artery aneurysms and a coeliac axis aneurysm. The coeliac artery aneurysm was resected and an aortobifemoral bypass performed with reimplantation of the inferior mesenteric artery into the prosthesis. The patient was well when discharged 2 weeks after operation. The incidence, natural history and management of coeliac axis and iliac artery aneurysms are reviewed.