Persistent Sciatic Artery Aneurysm: Cases Series and Review of Literatures | ||||
Ain Shams Journal of Surgery | ||||
Volume 15, Issue 2, July 2022, Page 112-116 PDF (480.73 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asjs.2022.246357 | ||||
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Authors | ||||
Ahmed O Korany; Ali Elemam; Naguib Abdelkreem ElAskary | ||||
General Surgery Department, Faculty of Medicine Alexandria University, Egypt | ||||
Abstract | ||||
Introduction: Persistent sciatic artery (PSA) is a rare anomaly of high clinical significance. Embryological, part of the sciatic artery involutes and other parts develop into the popliteal and peroneal arteries. Most cases present silent with aneurysm formation. Treatment is aneurysm exclusion with maintaining limb vasculature. Aim: Was to outline presentations and management PSA patients. Patients: First was female with bilateral pulsating gluteal masses. A bypass was done between the internal iliac and popliteal arteries because the femoral arteries were hypoplastic bilaterally. Second was 59y female presented with critical left lower limb ischemia. Femoropopliteal bypass with exclusion of the aneurysm was done. Third patient was 52y male with right painful pulsating gluteal mass with hypoplastic femorals. Conclusions: PSA is a rare vascular anomaly. Treatment depends on clinical and angiography presentation. Usually surgery is preferred. PSA awareness is in favor to appropriate management. | ||||
Keywords | ||||
Persistent sciatic artery; congenital vascular anomaly; gluteal aneurysm | ||||
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