Endovascular treatment of the gluteal artery pseudoaneurysm: a case report

Abstract

False aneurysms, also known as pseudoaneurysms, most commonly occur when the main arteries are injured in various ways. False aneurysms of smaller arteries located in the hard-to-reach areas are less common. These include aneurysms of the gluteal arteries. This disorder presents a serious problem due to both difficulties in diagnosis and in determining the tactics of surgical treatment. This article presents a case of successfully treated pseudoaneurysm of the gluteal artery in an elderly patient with underlying severe comorbidities. A 73-year-old patient was admitted to the clinic of vascular surgery with complaints of discomfort and pulsating sensation in the right gluteal region during exercise. Ultrasound examination and multislice computed tomography revealed a false aneurysm in the branch of the internal iliac artery measuring 57 × 36 × 46 mm, which was an indication for surgical treatment. The endovascular treatment scoped implantation of the occluder in the superior gluteal artery. The perioperative period was uneventful. According to the scheduled postoperative examination, the patient's condition was satisfactory. Of practical and clinical interest is the fact that the treatment of this disorder is a technically complex and time-consuming process. In this case, the endovascular treatment of aneurysm with an occluder resulted in an adequate therapeutic effect in the patient with underlying severe comorbidities and reduced the risk of perioperative complications. The patient returned to a normal life within a short time. Received 12 February 2022. Revised 3 April 2022. Accepted 4 April 2022. Informed consent: The patient’s informed consent to use the records for medical purposes is obtained. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest. Contribution of the authorsLiterature review: K.P. Moiseev, A.A. VlasovetsDrafting the article: N.V. Susanin, A.G. VanyurkinCritical revision of the article: N.V. SusaninSurgical treatment: M.A. Chernyavskiy, N.V. SusaninFinal approval of the version to be published: N.V. Susanin, M.A. Chernyavskiy, A.G. Vanyurkin, A.A. Vlasovets, K.P. Moiseev