An 18 cm Internal Iliac Artery Aneurysm 20 Years Following Open Repair of an Aortic Aneurysm

Gino Gemayel*, Michel Montessuit, Pierre-Henri Morere and Marek Bednarkiewicz

Tower Hospital, Vascular Surgery, Meyrin, 1217, Switzerland

*Corresponding Author:
Gino Gemayel
Tower Hospital
Vascular Surgery
JD Maillard Avenue 3
Meyrin, 1217, Switzerland
Tel: 41795534029
Fax: 41795534029
E-mail: [email protected]

Received Date: March 01, 2017; Accepted Date: March 31, 2017; Published Date: April 04, 2017

Citation: Gemayel G, Montessuit M, Morere PH, et al. An 18 cm Internal Iliac Artery Aneurysm 20 Years Following Open Repair of an Aortic Aneurysm. J Vasc Endovasc Surg. 2017, 2:12. doi: 10.21767/2573-4482.100044

 
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Keywords

Hypogastric artery aneurysm; Embolisation; Surgical resection

Clinical Image

A 90-year-old male was admitted to the hospital for right leg swelling. 20 years prior to his admission he had an open repair of an infra-renal abdominal aneurysm with an aorto-biiliac bypass and ligation of the ostium of both internal iliac arteries. CT scan showed a massive right internal iliac artery aneurysm of 18 cm in diameter (Figures 1A-1C) with a patent superior gluteal artery. His aneurysm was first embolized through a transabdominal percutaneous approach and later on a surgical resection was carried through an infra-ombilical midline incision with aneurysmorrhaphy and ligation of the superior gluteal artery (Figure 1D).

vascular-endovascular-surgery-artery-aneurysm

Figure 1: CT scan with three axial view (A-C) of the internal iliac artery aneurysm. Thrombus that was removed during surgery (D).

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