A CASE OF BILATERAL COMMON ILIAC AND FEMORAL ARTERY ANEURYSMS IN A CHRONIC HEMODIALYSIS PATIENT

Abstract

A case of bilateral common iliac and femoral artery anerysms which was found in a patient undergoing hemodialysis for chronic renal failure is reported. A 69-year-old male, who had been receiving hemodialysis from 3 months before, noticed pulsatile tumors at the bilateral inguinal regions. The patient was transferred to our surgical department. From physical findings and imaging methods such as X-ray CT scan, ultrasonography, and angiography, the tumors were diagnosed as bilateral common iliac and femoral artery aneurysms. Under general anesthesia, the common iliac artery aneurysm was exteriorized, the femoral artery aneurysm was excised, and then Y-shaped artificial vessel grafting between the abdominal aorta and bilateral superficial femoral arteries was carried out. A use of automatic suture instrument TA for excised ends was effective in minimizing the surgical invasion by excision of the abdominal aorta and common iliac artery. Postoperative course was uneventful and the patient was discharged on 28th day after surgery.