Surveillance and conservative management of a persistent sciatic artery aneurysm.
A persistent sciatic artery aneurysm is a rare congenital vascular anomaly. Surgical intervention is reserved for symptomatic cases. The authors report the case of a 72-year-old woman who presented with thromboembolic occlusion of an aneurysmal persistent sciatic artery. Although initially symptomatic, she was managed expectantly with the aid of serial duplex sonographic imaging. The persistent sciatic artery subsequently thrombosed as a result of hypotension secondary to a myocardial infarction. No surgical intervention was required. The current literature on this condition is reviewed.
Department of Vascular Surgery, Norfolk and Norwich University Hospital, Norwich, Norfolk, United Kingdom. mjforshaw@doctors.org.uk
Matthew J
MJ
Forshaw
Asad
A
Abedin
Patrick A
PA
Wilson
Yvonne G
YG
Wilson
D000368:Aged; D000783:Aneurysm / Q000151:congenital* / Q000000981:diagnostic imaging / Q000628:therapy; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D001158:Arteries / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods