Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization

• Published in: Journal of vascular surgery Vol. 50; no. 4; pp. 915 - 918
• Main Authors: McEnaney, Ryan M., MD, Baril, Donald T., MD, Gupta, Navyash, MD, Marone, Luke K., MD, Makaroun, Michel S., MD, Chaer, Rabih A., MD
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.10.2009; Elsevier
• Subjects: Aged, 80 and over; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aneurysm - diagnostic imaging; Aneurysm - therapy; Biological and medical sciences; Combined Modality Therapy; Embolization, Therapeutic - methods; Emergency and intensive care: renal failure. Dialysis management; Female; Follow-Up Studies; Humans; Iliac Artery - abnormalities; Intensive care medicine; Ischemia - etiology; Ischemia - therapy; Leg - blood supply; Magnetic Resonance Angiography; Medical sciences; Radiography; Risk Assessment; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tibial Arteries - surgery; Treatment Outcome; Vascular Patency; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Vascular Surgical Procedures - methods; Treatment; Bypass; Surgery; Plug; Embolization; Cardiovascular disease; Artery aneurysm
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2009.04.072

The presence of a persistent sciatic artery is a rare congenital vascular malformation. Complications associated with aneurysmal degeneration of this aberrant vessel include rupture, thrombosis, and embolization with obliteration of outflow vessels. We describe the case of an 82-year-old female presenting with critical limb ischemia due to embolization from a partially thrombosed persistent sciatic artery aneurysm. Successful treatment was achieved via a common femoral to posterior tibial artery bypass with the great saphenous vein and vascular plug embolization of the aneurysm.