Common iliac aneurysm rupture after previous aortic aneurysm resection.

Abstract

INTRODUCTION:

Ruptured common iliac aneurysms present with diagnostic and therapeutic challenges. This case describes the successful outcome in a patient with complex vascular surgical history.

CASE PRESENTATION:

An elderly patient presented with abdominal pain confirmed by CT as leaking iliac aneurysm. He had previously undergone an aorto-bifemoral bypass graft for ruptured abdominal aortic aneurysm. The iliac aneurysm was treated by simple ligation of the external iliac artery.

DISCUSSION:

Aorto-bifemoral bypass graft may be required for aortic aneurysm repair in severe iliac calicification. Iliac artery fed by retrograde blood flow from the aorto-bifemoral bypass graft contributed to aneurysm development here.

• Authors: K J Mylankal, Z Baxter, E P Perry
• Journal: Annals of vascular diseases (Ann Vasc Dis) Vol. 3 Issue 1 Pg. 74-6 ( 2010) ISSN: 1881-641X [Print] Japan
• PMID: 23555392 (Publication Type: Case Reports)