Giant Iliac Venous Aneurysm Caused by Acquired Femoral Arteriovenous Fistula

Salman, Ergun; Özeren, Murat; Mavioglu, Ilhan; Yücel, Ertan; Yörükoğlu, Yavuz

doi:10.1177/153857449402800408

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…In primary iliac vein aneurysms, aneurysm resection is considered for open surgical management. 4,8,12 Following aneurysm resection, venorrhaphy, patch venoplasty 33,41 or venous bypass 2,18 are used to restore venous drainage. Traditionally, simple ligation of distal and proximal parts of venous aneurysm may be considered if collateral and superficial venous drainage is sufficient.…”

Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

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Introduction: Iliac vein aneurysm is a rare clinical entity. Iliac venous tract is the least commonlocation for venous aneurysms. There are a few cases of common, external and internal iliac veinaneurysms in the literature. However, undiagnosed and ruptured iliac venous aneurysms couldhave hazardous consequences. Herein, we reviewed all literature cases of iliac vein aneurysms.Their potential diagnostic and therapeutic challenges are discussed. Literature Review: Following a systematic search, 50 cases of iliac venous aneurysms wereidentified. We used MEDLINE [1900-March 2018] and EMBASE [until March 2018]. MeSHterms of iliac vein/veins/venous, hypogastric, inferior vena cava and aneurysm/aneurysms wereused. Fifty patients with venous aneurysms located in common, external or internal iliac veinswere found in our systematic search. Seventeen patients were female (35.4%) and 31 patients weremale (64.6%). The age range was 13 to 70 years of age. The aneurysm was located in right side in17 patients (34%). It was located in left side in 29 patients (58%) and it was bilateral in 4 patients(8%). The aneurysm was located in common, external and internal iliac veins in 15 (30%), 31(62%) and 4 (8%) patients respectively. The aneurysm was due to a previous arteriovenousfistula (AVF) in 19 patients (38%) and of them, 16 patients (32%) had a history of AVF resultingfrom a previous trauma. 29 patients (59.2%) underwent open surgical treatment. Five patients(10.2%) underwent endovascular treatment. One patient (2.0%) underwent hybrid treatment.Conservative treatment was used in 14 patients (28.6%). Conclusion: Iliac vein aneurysms are extremely rare. Its diagnosis necessitates precise clinicalsuspicion and the treatment is based on patients’ clinical scenario and radiological features. Bothopen and endovascular techniques could be feasible. Iliac vein aneurysms are more commonin men. Left sided aneurysms are more common. The most common anatomic location isexternal iliac vein. The most common cause of iliac aneurysms is dilatation of vein secondary toa traumatic AVF.

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Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

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Thrombosed iliac venous aneurysm: A rare form of presentation of a congenital anomaly of the inferior vena cava

Ysa

Bustabad

Arruabarrena

et al. 2008

Journal of Vascular Surgery

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Aneurysms of the iliac veins are extremely rare. We report a case of a 51-year-old male who was admitted for swelling of the lower right limb. Sonography and ascending phlebogram showed a complete occlusion of the right femoropopliteal veins, both iliacs and the inferior vena cava (IVC). A large collateral circulation throughout the paravertebral plexus and azygos system was also observed. The CT scan revealed a 5 x 9 cm thrombosed aneurysm of the right external iliac vein and a congenital hypoplasia of the infrarenal IVC. Anticoagulant treatment and compression with elastic stocking was started. The 3-month follow-up showed mild residual edema of the right lower limb. The literature on this pathology is extensively reviewed.

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Staged Approach for Surgical Management of External Iliac Vein Aneurysm Associated With Traumatic Femoral Arteriovenous Fistula

Vasquez

Montesinos

DeLaRosa

et al. 2009

Vasc Endovascular Surg

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Aneurysms of the iliac vein are rare. They can occur in association with arteriovenous fistulae located elsewhere. Here, we present a 30-year-old man who developed a large left external iliac vein aneurysm in association with a chronic traumatic arteriovenous fistula in the left thigh. Less than 25 cases of iliac vein aneurysms have been reported in the last 40 years. The presentation and treatment of this condition has been heterogeneous. We suggest that adequate surgical treatment can be offered in a staged approach: aneurysm resection with reconstruction should be done first, followed by closure of the arteriovenous fistula 6 months later.

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Giant Iliac Venous Aneurysm Caused by Acquired Femoral Arteriovenous Fistula

Cited by 3 publications

References 19 publications

Iliac vein aneurysms: a comprehensive review

Iliac vein aneurysms: a comprehensive review

Thrombosed iliac venous aneurysm: A rare form of presentation of a congenital anomaly of the inferior vena cava

Staged Approach for Surgical Management of External Iliac Vein Aneurysm Associated With Traumatic Femoral Arteriovenous Fistula

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