Cardiovascular Surgery and Interventions
2016, Vol 3, Num 1 Page(s): 024-027
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Surgical approach to internal iliac arteries in repair for bilateral iliac aneurysms
Ersin Kadiroğulları, Timuçin Aksu, Ünal Aydın, Onur Şen, Burak Onan, İhsan Bakır, Mehmet Yeniterzi
Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Aneurysm; bilateral internal iliac artery; surgical repair; ligation
Bilateral iliac artery aneurysms are rare pathologies. Although patients are often asymptomatic, they are associated with high morbidity and mortality rates due to the risk of rupture in symptomatic patients. Currently, the treatment of iliac artery aneurysms is feasible using endovascular and open surgical techniques. When aneurysm involves the ostium of internal iliac artery, anastomosis of this artery to the interposed graft is recommended. Nevertheless, in some surgical conditions, anastomosis to the interpositioned graft may be impossible. Herein, we present a 76-year-old male case who underwent open surgery for bilateral iliac aneurysmectomy and graft interposition. In this case, surgical ligation of bilateral internal iliac arteries was performed due to the weakness and fragility of the vessel wall.
Ersin Kadiroğulları, Timuçin Aksu, Ünal Aydın, Onur Şen, Burak Onan, İhsan Bakır, Mehmet Yeniterzi
Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Aneurysm; bilateral internal iliac artery; surgical repair; ligation
Bilateral iliac artery aneurysms are rare pathologies. Although patients are often asymptomatic, they are associated with high morbidity and mortality rates due to the risk of rupture in symptomatic patients. Currently, the treatment of iliac artery aneurysms is feasible using endovascular and open surgical techniques. When aneurysm involves the ostium of internal iliac artery, anastomosis of this artery to the interposed graft is recommended. Nevertheless, in some surgical conditions, anastomosis to the interpositioned graft may be impossible. Herein, we present a 76-year-old male case who underwent open surgery for bilateral iliac aneurysmectomy and graft interposition. In this case, surgical ligation of bilateral internal iliac arteries was performed due to the weakness and fragility of the vessel wall.
DOI : 10.5606/e-cvsi.2016.541
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