Management of solitary iliac aneurysms.
Eleven patients with isolated iliac artery aneurysms, presenting over a 10 year period, have been reviewed. Ten patients underwent surgery, of whom 3 had ruptured their aneurysms. Four patients had a solitary aneurysm, while the remaining 6 had 14 aneurysms between them. There was no operative mortality but 2 patients died of late vascular complications (after 4 and 12 months), 1 after proximal ligation only of an internal iliac artery aneurysm, and 1 after proximal and distal ligation and bypass of the common/external iliac artery for an aneurysm involving both the common and internal iliac arteries. Five patients had internal iliac artery aneurysms, and in 4 of these distal control was not achieved. Four patients died from unrelated disease (after 2-6 years). Safe control of internal iliac artery aneurysms cannot be achieved without distal internal iliac control.
Sacks
N P
NP
Department of Surgery, Royal Surrey County Hospital, Guildford, U.K.
Huddy
S P
SP
Wegner
T
T
Giddings
A E
AE
D000368:Aged; D017542:Aneurysm, Ruptured / Q000601:surgery*; D016063:Blood Loss, Surgical; D001807:Blood Vessel Prosthesis; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D008026:Ligation; D011183:Postoperative Complications