Bilateral sciatic artery persistence in a patient with infrarenal abdominal aortic aneurysm

Beatriz Ramos Santos Muniz, MD; Edwaldo Edner Joviliano, MD, PhD; Marcelo Bellini Dalio, MD, PhD; Eloisa Spinassé Giacomin, MD; Willams Germano Bezerra Segundo, MD; Karoline Evelyn Barbosa Gomes, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Aug 2024)

Bilateral sciatic artery persistence in a patient with infrarenal abdominal aortic aneurysm

Beatriz Ramos Santos Muniz, MD,
Edwaldo Edner Joviliano, MD, PhD,
Marcelo Bellini Dalio, MD, PhD,
Eloisa Spinassé Giacomin, MD,
Willams Germano Bezerra Segundo, MD,
Karoline Evelyn Barbosa Gomes, MD

Affiliations

Beatriz Ramos Santos Muniz, MD: Correspondence: Beatriz Ramos Santos Muniz, MD, Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, 9° andar Campus Universitário, Av Bandeirantes, 3900, Ribeirão Preto, São Paulo CEP 14048-900, Brazil; Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
Edwaldo Edner Joviliano, MD, PhD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
Marcelo Bellini Dalio, MD, PhD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
Eloisa Spinassé Giacomin, MD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
Willams Germano Bezerra Segundo, MD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
Karoline Evelyn Barbosa Gomes, MD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil

Journal volume & issue: Vol. 10, no. 4
p. 101509

Abstract

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A persistent sciatic artery (PSA) is a rare congenital vascular anomaly, with an estimated prevalence ranging from 0.01% to 0.05%. This condition can cause ischemic events in the lower limbs and sciatic artery aneurysms but can also be asymptomatic. A PSA can complicate the treatment of other coexistent vascular diseases due to the thin caliber of the external iliac and femoral arteries. We report a case of a patient with bilateral PSAs and an infrarenal aortic aneurysm. The aneurysm was successfully treated by the endovascular approach. An ultra-low profile endograft associated with access incisions slightly above the usual position was used to overcome this challenging access.

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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