A surprising diagnosis in a young patient with intermittent claudication: Symptomatic isolated external iliac artery aneurysm associated with cystic media necrosis

Georgios Chatzantonis, MD; Lillian Schmoll, MD; Felix Strübing, MD; Grigorios Chatzantonis, MD; Clemens Kühner, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2020)

A surprising diagnosis in a young patient with intermittent claudication: Symptomatic isolated external iliac artery aneurysm associated with cystic media necrosis

Georgios Chatzantonis, MD,
Lillian Schmoll, MD,
Felix Strübing, MD,
Grigorios Chatzantonis, MD,
Clemens Kühner, MD

Affiliations

Georgios Chatzantonis, MD: Department of Vascular and Endovascular Surgery, Municipal Hospital Ludwigshafen, Teaching Hospital of the University of Johannes Guttenberg University of Mainz and Medical Faculty of Mannheim of the University of Heidelberg, Ludwigshafen by Rhine, Germany; Correspondence: Georgios Chatzantonis, MD, Department of Vascular and Endovascular Surgery, Municipal Hospital Ludwigshafen, Teaching Hospital of the University of Johannes Guttenberg University of Mainz and Medical Faculty of Mannheim of the University of Heidelberg, Ludwigshafen by Rhine, Germany
Lillian Schmoll, MD: Department of Vascular and Endovascular Surgery, Municipal Hospital Ludwigshafen, Teaching Hospital of the University of Johannes Guttenberg University of Mainz and Medical Faculty of Mannheim of the University of Heidelberg, Ludwigshafen by Rhine, Germany
Felix Strübing, MD: Department of Hand-, Plastic and Reconstructive Surgery, Burn Trauma Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany
Grigorios Chatzantonis, MD: Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital Münster, Münster, Germany
Clemens Kühner, MD: Department of Vascular and Endovascular Surgery, Municipal Hospital Ludwigshafen, Teaching Hospital of the University of Johannes Guttenberg University of Mainz and Medical Faculty of Mannheim of the University of Heidelberg, Ludwigshafen by Rhine, Germany

Journal volume & issue: Vol. 6, no. 3
pp. 352 – 356

Abstract

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Aneurysms of the external iliac artery are extremely rare. We present a case of a middle-aged male patient with calf claudication owing to peripheral arterial embolism on the basis of a thrombosed true aneurysm of the external iliac artery caused by cystic media necrosis. Vascular imaging established the diagnosis and we proceeded to removal of the aneurysm via open repair, with excellent surgical and clinical results.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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