Surgical treatment of aneurysm of the persistent sciatic artery.
Persistent sciatic artery (PSA) is a rare congenital malformation that is complicated by aneurysm formation in more than 25% of the reported cases. Two cases of aneurysm of the PSA are presented. Twenty-six aneurysms of the PSA, including our two cases, have been reported in the English literature in the last three decades. Early surgical treatment is warranted to decrease the 25% amputation rate associated with thromboembolic complications. The posterior, transgluteal repair of this aneurysm affords excellent exposure and avoids a long bypass graft, multiple incisions, and staged procedures. Magnetic resonance imaging may be helpful in preoperative evaluation of the feasibility of proximal, extrapelvic vascular control.
Wolf
Y G
YG
Division of Vascular and Thoracic Surgery, Scripps Clinic and Research Foundation, La Jolla, CA 92037.
Gibbs
B F
BF
Guzzetta
V J
VJ
Bernstein
E F
EF
D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D001158:Arteries / Q000002:abnormalities* / Q000601:surgery; D002081:Buttocks / Q000098:blood supply; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012584:Sciatic Nerve / Q000098:blood supply