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Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
INTRODUCTION: Persistent sciatic artery (PSA) is a rare embryological vascular anomaly with a prevalence between 0.025–0.06%. PSA is frequently associated with aneurysmal degeneration and can result in neuropathy, thrombosis, or rupture, threatening limb and life. CASE PRESENTATION: We present a cas...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718314/ https://www.ncbi.nlm.nih.gov/pubmed/33395896 http://dx.doi.org/10.1016/j.ijscr.2020.11.077 |
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author | Yang, Andrew Hashmi, Ammar Androsov, Anton Salzler, Gregory Ryer, Evan |
author_facet | Yang, Andrew Hashmi, Ammar Androsov, Anton Salzler, Gregory Ryer, Evan |
author_sort | Yang, Andrew |
collection | PubMed |
description | INTRODUCTION: Persistent sciatic artery (PSA) is a rare embryological vascular anomaly with a prevalence between 0.025–0.06%. PSA is frequently associated with aneurysmal degeneration and can result in neuropathy, thrombosis, or rupture, threatening limb and life. CASE PRESENTATION: We present a case of a 72-year-old man with an incidental finding of a right sided 4 cm PSA aneurysm with limited symptoms. The aneurysm was treated successfully with endovascular exclusion and a femoral-popliteal bypass was performed to revascularize the leg. DISCUSSION: Treatment of PSA aneurysms involve excluding the aneurysm and revascularizing the involved leg. Improvements in endovascular embolization techniques now offer new solutions in the management of these aneurysms. CONCLUSION: A high degree of clinical suspicion is required to properly diagnose and treat PSA aneurysms. Referral to a center with expertise in both open and endovascular techniques is vital to ensure good outcomes. |
format | Online Article Text |
id | pubmed-7718314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-77183142020-12-09 Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm Yang, Andrew Hashmi, Ammar Androsov, Anton Salzler, Gregory Ryer, Evan Int J Surg Case Rep Case Report INTRODUCTION: Persistent sciatic artery (PSA) is a rare embryological vascular anomaly with a prevalence between 0.025–0.06%. PSA is frequently associated with aneurysmal degeneration and can result in neuropathy, thrombosis, or rupture, threatening limb and life. CASE PRESENTATION: We present a case of a 72-year-old man with an incidental finding of a right sided 4 cm PSA aneurysm with limited symptoms. The aneurysm was treated successfully with endovascular exclusion and a femoral-popliteal bypass was performed to revascularize the leg. DISCUSSION: Treatment of PSA aneurysms involve excluding the aneurysm and revascularizing the involved leg. Improvements in endovascular embolization techniques now offer new solutions in the management of these aneurysms. CONCLUSION: A high degree of clinical suspicion is required to properly diagnose and treat PSA aneurysms. Referral to a center with expertise in both open and endovascular techniques is vital to ensure good outcomes. Elsevier 2020-11-19 /pmc/articles/PMC7718314/ /pubmed/33395896 http://dx.doi.org/10.1016/j.ijscr.2020.11.077 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Yang, Andrew Hashmi, Ammar Androsov, Anton Salzler, Gregory Ryer, Evan Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title | Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title_full | Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title_fullStr | Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title_full_unstemmed | Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title_short | Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm |
title_sort | case report: hybrid approach in the management of a complete persistent sciatic artery aneurysm |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718314/ https://www.ncbi.nlm.nih.gov/pubmed/33395896 http://dx.doi.org/10.1016/j.ijscr.2020.11.077 |
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