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Successful surgical treatment of bilateral iliac artery aneurysm
Successful surgical treatment of bilateral iliac artery aneurysm
Melih Hulusi Us, Murat Başaran, Mehmet Yılmaz, Alper Uçak, Adem Güler, Ahmet Turan Yılmaz
Department of Cardiovascular Surgery, Haydarpaşa Training Hospital of Gülhane Military Medical School, Istanbul
Isolated aneurysm of the bilateral iliac arteries is rare,
and frequently follows an asymptomatic clinical course.
According to the diameter, length, and anatomical relation
of the aneurysm, and its compressive effects on surrounding
structures, surgery or an endovascular treatment can be
preferred. In a 65-year-old male patient with ischemic heart
disease, who had had a previous coronary angiography in
another center, bilateral iliac artery aneurysm and occlusion
of the right iliac artery were incidentally diagnosed
during a coronary angiography. While coronary artery
disease needed a medical treatment, surgical treatment
was scheduled for bilateral iliac artery aneurysm. Bilateral
iliac arteries were explored through an abdominal incision.
After exclusion of the aneurysm by sparing only the right
internal iliac artery, bypass grafting to the right femoral
and left iliac arteries was performed by using a 16/8 Dacron
graft. The patient was discharged after an uneventful postoperative
course. In conclusion, isolated iliac artery aneurysms
may follow an asymptomatic clinical course and the
symptoms can be masked by concomitant coronary artery
disease. We presented a successful surgical management of
a rare pathology of bilateral iliac artery aneurysm.
Keywords : Abdominal aorta; aneurysm; angiography, coronary; iliac arteries
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