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Ann Vasc Dis. 2010;3(1):74-6. doi: 10.3400/avd.AVDcr09022. Epub 2010 Jul 21.

Common iliac aneurysm rupture after previous aortic aneurysm resection.

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1
Hull Royal Infirmary, Hull, United Kingdom.

Abstract

INTRODUCTION:

Ruptured common iliac aneurysms present with diagnostic and therapeutic challenges. This case describes the successful outcome in a patient with complex vascular surgical history.

CASE PRESENTATION:

An elderly patient presented with abdominal pain confirmed by CT as leaking iliac aneurysm. He had previously undergone an aorto-bifemoral bypass graft for ruptured abdominal aortic aneurysm. The iliac aneurysm was treated by simple ligation of the external iliac artery.

DISCUSSION:

Aorto-bifemoral bypass graft may be required for aortic aneurysm repair in severe iliac calicification. Iliac artery fed by retrograde blood flow from the aorto-bifemoral bypass graft contributed to aneurysm development here.

KEYWORDS:

aorto-bifemoral bypass graft; common iliac aneurysm; rupture

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