A ruptured aneurysm in persistent sciatic artery: A case report

• Published in: Journal of vascular surgery Vol. 42; no. 3; pp. 556 - 558
• Main Authors: Ishida, Keiichi, Imamaki, Mizuho, Ishida, Atsushi, Shimura, Hitoshi, Miyazaki, Masaru
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01-09-2005; Elsevier
• Subjects: Aged; Aneurysm, Ruptured - diagnosis; Aneurysm, Ruptured - surgery; Arteriovenous Malformations - diagnosis; Arteriovenous Malformations - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Diagnosis, Differential; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Female; Humans; Iliac Artery; Leg - blood supply; Medical sciences; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Arterial disease; Vascular disease; Case study; Cardiovascular disease; Surgery; Artery aneurysm
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2005.04.031

Persistent sciatic artery (PSA) is a rare congenital anomaly, but in many cases it is a clinically important condition. PSA is susceptible to atherosclerotic degeneration, resulting in aneurysmal dilatation, occlusive thrombosis, or thromboembolization. PSA aneurysm is associated with distal embolization, sciatic neuropathy, or rupture. We describe a case of a patient with a ruptured PSA aneurysm treated by exclusion of the aneurysm and bypass between the common iliac artery and the PSA distal to the aneurysm, and discuss treatment of PSA aneurysm.