A ruptured aneurysm in persistent sciatic artery: A case report

Ishida, Keiichi; Imamaki, Mizuho; Ishida, Atsushi; Shimura, Hitoshi; Miyazaki, Masaru

doi:10.1016/j.jvs.2005.04.031

Cited by 42 publications

(33 citation statements)

References 7 publications

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“…This high incidence of aneurysms is assigned to repeated micro traumas in the gluteal area and to hypoplasia of elastin fibers in the arterial wall 9,10 . Another possible symptom is acute or chronic ischemia due to accelerated atherosclerotic disease and consequent thromboembolism 11 . The diagnosis may be suspected if a patient presents with reduced or absent femoral pulse but palpable popliteal and distal pulses associated or not with a pulsatile gluteal mass 12 .…”

Section: Discussionmentioning

confidence: 99%

Angioplasty of a persistent sciatic artery: case report

Szejnfeld¹,

Belczak²,

Sincos³

et al. 2011

J. vasc. bras.

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Transluminal balloon angioplasty is a good choice for the treatment of lower limb arterial occlusion. Although there are some guidelines addressing its indications, some situations are so unusual that there is no consensus on their management. The presence of a persistent sciatic artery is a rare congenital anomaly of the circulatory system and may be associated with early atheromatous degeneration and occlusion. The authors describe the case of an 81-year-old woman that presented with a history of rest pain, atrophic lesion and no distal pulses. Angiogram depicted a persistent sciatic artery with segmental occlusion and distal disease. The therapeutic option was balloon angioplasty of the occluded segment, with technical and clinical success at mid-term follow-up.

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Section: Discussionmentioning

confidence: 99%

Angioplasty of a persistent sciatic artery: case report

Szejnfeld¹,

Belczak²,

Sincos³

et al. 2011

J. vasc. bras.

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“…2) A PSA aneurysm may result in severe complications, including neurologic symptoms due to sciatic nerve compression, tenderness in the buttock, ipsilateral lower extremity ischemia and rupture. 3) The treatment for PSA aneurysm depends on the anatomy and symptoms presented. Options for intervention include graft interposition, extra-anatomic bypass, embolization and endovascular stent implantation.…”

Section: Discussionmentioning

confidence: 99%

The Management of Persistent Sciatic Artery Aneurysm with Lower Extremity Ischemia: A Case Report

Chen

Shi

Wang

et al. 2011

Annals of Vascular Diseases

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“…Si la ACP se presenta complicada con un aneurisma glúteo se debe efectuar una ligadura por vía posterior para evitar la trombosis, embolización distal o crecimiento mayor y eventual ruptura aneurismática. También se ha informado el tratamiento mediante embolización percutánea endovascular del aneurisma 3,6,11 . Si después de la ligadura arterial o embolización se presenta isquemia en la extremidad, lo que puede ocurrir en casos de ACP completa con hipoplasia del eje femoral, debe asociarse una cirugía de revascularización mediante un puente fémoro-poplíteo si la arteria femoral común es de buen calibre 3 , o mediante un puente ilio-poplíteo si las arterias ilíaca externa y femoral común son hipoplásicas.…”

Section: Comentariounclassified

“…Esta anomalía anatómica puede permanecer asintomática durante muchos años, sin embargo, se describió por primera vez un aneurisma de este vaso con desenlace fatal en 1864 5 . Posteriormente se ha observado la degeneración aneurismática de la ACP a nivel glúteo, trombosis del aneurisma y embolización distal, con cuadros de isquemia aguda secundaria de la extremidad, y con menor frecuencia, se han informado síntomas por compresión del nervio ciático 3,[5][6][7][8][9][10][11] . Se reporta el caso de una paciente de 71 años, que presenta un aneurisma verdadero parcialmente trombosado en una ACP tratada en el Servicio de Cirugía del Hospital Dr. Eduardo Pereira de Valparaíso.…”

Section: Introductionunclassified

Aneurisma verdadero en arteria ciática persistente: Caso clínico

G³

et al. 2010

Rev Chil Cir

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Persistent sciatic artery aneurysm. A case reportWe report the case of a 71 years old female patient, who had a partially thrombosed true aneurysm in a persistent sciatic artery (PSA), treated in the Surgery Department of Hospital Dr. Eduardo Pereira of Valparaíso. The sciatic artery arises from the umbilical artery and during early embryological state is the main blood supply of the lower limbs. Later, the superfi cial femoral artery appears with the subsequent progressive involution of the sciatic artery. PSA is a rare congenital vascular anomaly that occurs when sciatic artery fails to regress during fetal development. This is associated with superfi cial femoral artery hipoplasia and the PSA becomes the dominant arterial infl ow to the lower limb. This anatomic abnormality may be bilateral and can remain asymptomatic for many years, however, it has been described aneurysmal degeneration, like in this case, symptoms of sciatic nerve compression, aneurysm thrombosis and distal embolization.Key words: Persistent sciatic artery, aneurysm, surgical treatment. ResumenSe reporta el caso de una paciente de 71 años, que presenta un aneurisma verdadero, parcialmente trombosado, en una Arteria Ciática Persistente (ACP), tratada en el Servicio de Cirugía del Hospital Dr. Eduardo Pereira de Valparaíso. La arteria ciática se origina en la arteria umbilical y durante las primeras fases embriológicas es el principal aporte sanguíneo de la extremidad inferior. Posteriormente aparece la arteria femoral superfi cial y se produce la progresiva involución de la arteria ciática. La ACP constituye una rara anomalía y ocurre por la falta de desarrollo de la arteria femoral superfi cial. La ACP se origina en el adulto en la arteria hipogástrica, transcurre hacia la región glútea a través de la escotadura ciática y sigue hacia distal por la parte posterior del muslo continuándose después con la arteria poplítea. Se acompaña de un variable menor desarrollo del eje arterial anterior de la arteria ilíaca externa y femoral superfi cial. Esta anomalía anatómica puede ser bilateral y puede permanecer asintomática durante muchos años, sin embargo, se ha descrito la degeneración aneurismática, como en este caso, y síntomas por compresión del nervio ciático, trombosis del aneurisma y embolización distal.Palabras clave: Arteria ciática persistente, aneurisma, tratamiento quirúrgico.

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A ruptured aneurysm in persistent sciatic artery: A case report

Cited by 42 publications

References 7 publications

Angioplasty of a persistent sciatic artery: case report

Angioplasty of a persistent sciatic artery: case report

The Management of Persistent Sciatic Artery Aneurysm with Lower Extremity Ischemia: A Case Report

Aneurisma verdadero en arteria ciática persistente: Caso clínico

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