Surgical repair of a very large right common iliac aertery aneurysm. Case report and review oft he literature


COD: 2400_09_10_2015_ep Categorie: ,

Giovanni De Caridi, Mafalda Massara, Paolo Tripodi, Claudio Mastrojeni, Raffaele Serra, Francesco Stilo, Ignazio Eduardo Acri, Michele La Spada, Francesco Spinelli

Ann. Ital. Chir. Published online (EP) 9 October 2015

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AIM: Concomitant abdominal aortic and common iliac artery aneurysms occur in 40% of cases. However, giant com-mon iliac artery aneurysms were rarely described in the current literature. The aim of the present study is to describethe successful treatment of a giant right common iliac artery aneurysm associated with infrarenal abdominal aorticaneurysm.
MATERIAL OF STUDY: We present a case of aorto-iliac aneurysm, with giant right common iliac artery aneurysm, respon-sible of bladder and right psoas muscle compression. Through a midline laparotomy, an aortobisiliac prosthetic repairwas performed, associated with prosthetic revascularization of the right internal iliac artery and inferior mesenteric artery.
RESULTS: Postoperative recovery was uncomplicated and the patient was discharged on postoperative day 7 in good healthand has remained so up to the most recent 12-month follow-up.
DISCUSSION: Giant common IA aneurysms represent a very rare pathology, more often associated with infrarenal abdom-inal aortic aneurysm. After clinical examination, ultrasonography represents the first imaging modality to make diagno-sis but CT scan is the gold standard for definitive conclusions, offering accurate anatomical details that are essential tochoose the better strategy of treatment. Open surgery represents the gold standard, while endovascular repair has emergedmore recently. However results about interventional treatment are not yet described in literature.