title: Open Surgery for Giant Bilateral Internal Iliac Artery Aneurysms with Compression of Neighboring Abdominal Structures: A Case Report.
abstract: We describe a patient with successfully treated giant bilateral internal iliac artery aneurysms that were associated with acute renal failure secondary to bilateral hydronephrosis, lumbosacral plexopathy, and ileus. After hemodialysis for 1 month, the patient underwent graft replacement of the abdominal aorta and iliac arteries, including complete obliteration of the internal iliac artery branches, reconstruction of the inferior mesenteric artery, and ureterolysis. Weaning from hemodialysis was achieved and postoperative renal function improved. Although the patient had serious preoperative co-morbidities, emergency traditional open surgery should be the gold standard for securely releasing compression of the neighboring organs instead of endovascular treatment.
authors.affiliation: The Department of Cardiovascular Surgery, Numata Neurosurgery Heart-Disease Hospital, Numata, Gunma, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Morishita
authors.affiliation: The Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Womens Medical University, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Tomioka
authors.affiliation: The Department of Surgery, Tokyo Rosai Hospital, Tokyo, Japan.
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Katahira
authors.affiliation: The Department of Anesthesiology, Minami Machida Hospital, Machida, Tokyo, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hoshino
authors.affiliation: The Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata, Niigata, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hanzawa
keywords: abdominal structure compression; giant bilateral internal iliac artery aneurysm; open surgery