Rupture Of Iliac Artery Aneurysm Research Articles

Postmortem contrast-enhanced computed tomography via direct large-vessel puncture

The aim of this study was to assess the usefulness of postmortem contrast-enhanced CT (PMeCT) performed via direct large-vessel puncture when routine postmortem CT suggests a vascular lesion as the cause of death. PMeCT was performed in 9 cases (4 male, 5 female) with a mean age of 76 years (range 52–92) at the time of death. The mean time elapsed since death was 29.1 h (12.0–72.0). The location of the target vessel for puncture was determined based on the CT table position and a grid placed on the body surface. An 18-G spinal needle was advanced to the puncture site, and the needle tip was confirmed to have reached the intended blood vessel. Using negative pressure with a 20-ml syringe, the needle tip was advanced until reverse bleeding was confirmed. Diluted contrast medium was injected slowly to ensure its dispersion within the blood vessels. Following confirmation of no extravasation, additional doses of diluted contrast agent were injected in 3–4 divided doses, with CT scans obtained at each step to track the distribution of contrast agent over time. PMeCT was successful in all cases, revealing cardiac tamponade in 7 (ascending aortic dissection, n = 6; cardiac rupture, n = 1), thoracic aortic aneurysm rupture, n = 1, and iliac artery aneurysm rupture, n = 1. There were no cases of procedure-related extravasation (pseudo-lesions). When postmortem CT reveals pericardial hematoma or bleeding in the thoracic or abdominal cavity, PMeCT can identify the source of bleeding.

Left Common Iliac Artery Aneurysm Rupture to an Iliac Vein with a Venous Anomaly: A Case Report

Left Common Iliac Artery Aneurysm Rupture to an Iliac Vein with a Venous Anomaly: A Case Report

Complex Aortic Aneurysm Associated with Multiple Splanchnic Arterial Aneurysms and A Giant Coronary Artery Aneurysm

A 50-year-old male diabetic, hypertensive and chronic smoker presented with complex aortic, splanchnic aneurysms with impending rupture of iliac artery aneurysm, underwent coiling of celiac artery, internal iliac artery, and fenestrated/chimney endovascular aortic repair. One month later, the patient landed in an emergency due to bleeding complications of common hepatic artery and gastroduodenal artery aneurysms, which were managed successfully using endovascular techniques. The mayhem of progressive nature of the disease in the patient continued as he had left lower limb ischemia due to occlusion of the iliac artery and iliac limb of the aortic graft device as he continued to smoke. All of the above sequences of events occurred over a period of 5 years. He also developed a giant aneurysm of left anterior descending of 6.8 cm diameter, which had to be repaired by open surgical technique. The patient has been followed up for 6 years since his first presentation, and he was managed successfully from all the catastrophe of events using endovascular techniques. Giant coronary artery aneurysm with previous aneurysms at multiple sites is quite unusual and rare. Currently, there is no consensus regarding the clinical characteristics, diagnostic method, and the treatment of these cases.

Endovascular treatment of isolated internal iliac artery aneurysm rupture associated with a pelvic giant pseudoaneurysm

Endovascular treatment of isolated internal iliac artery aneurysm rupture associated with a pelvic giant pseudoaneurysm

Successful Treatment of Right Internal Iliac Artery Aneurysm Rupture with Arterio-rectal Fistula

Successful Treatment of Right Internal Iliac Artery Aneurysm Rupture with Arterio-rectal Fistula

Surgical Treatment for Acute Rupture of Iliac Artery Aneurysm Caused by Invasion of Retroperitoneal Leiomyosarcoma

Surgical Treatment for Acute Rupture of Iliac Artery Aneurysm Caused by Invasion of Retroperitoneal Leiomyosarcoma

Two Cases of EVAR for Hemodynamic Stable Patients of Fitzgerald Classification Grade 4 of Ruptured Iliac Artery Aneurysm and Abdominal Aortic Aneurysm

Two Cases of EVAR for Hemodynamic Stable Patients of Fitzgerald Classification Grade 4 of Ruptured Iliac Artery Aneurysm and Abdominal Aortic Aneurysm

Endovascular Aneurysm Repair in HIV Patients with Ruptured Abdominal Aneurysm and Low CD4.

We report two HIV infected patients with ruptured abdominal aneurysm by using endovascular aneurysm repair (EVAR) technique. A 59-year-old Thai man had a ruptured abdominal aortic aneurysm and a 57-year-old man had a ruptured iliac artery aneurysm. Both patients had a CD4 level below 200 μ/L indicating a low immune status at admission. They were treated by EVAR. Neither patient had any complications in 3 months postoperatively. EVAR may have a role in HIV patients with ruptured abdominal aneurysm together with very low immunity.

Off-label use of a reversed flared endurant iliac limb stengraft for the management of a life-threatening internal iliac artery aneurysm rupture

We report a case of a life-threatening internal iliac artery aneurysm rupture managed successfully with an on-table reversed flared iliac limb stentgraft and embolization. This easily off-the-shelf reproducible technique avoids using a more complex and expensive bifurcated aorto-iliac graft and could be a good solution in emergency situation where a custom graft is not available.

Endovascular Aneurysm Repair for Multiple Aneurysms as a Sequel of Hypereosinophilic Syndrome

This case represents the first report of multiple arterial aneurysms including aortic, iliac, visceral, and coronary aneurysms associated with hypereosinophilic syndrome. It presents an interesting case of epinephrine abuse and the unfortunate sequelae. This case illustrates novel approaches in emergency repair of internal iliac artery aneurysm rupture and the management of visceral artery aneurysms and exemplifies how multiple endovascular technologies can be utilized even in the high-risk polymorbid patient.

Dev Rüptüre İliyak Arter Anevrizmasının Kardiyopulmoner Resusitasyon Eşliğinde Başarılı Cerrahi Onarımı

Dev Rüptüre İliyak Arter Anevrizmasının Kardiyopulmoner Resusitasyon Eşliğinde Başarılı Cerrahi Onarımı

Ruptured Iliac Artery Aneurysm Coincident with Polycystic Kidney

Ruptured Iliac Artery Aneurysm Coincident with Polycystic Kidney

Abdominal compartment syndrome after endovascular repair of ruptured iliac artery aneurysm

Abdominal compartment syndrome is a possible complication after aneurysm repair and has a high mortality rate. Although there has been an increment in patient survival rates after aneurysm repair, there has also been an increase in this entity. However, there are few data about the incidence and management of this complication after endovascular repair of a ruptured iliac artery aneurysm. The objective of this report is to describe a case of abdominal compartment syndrome after endovascular correction of a ruptured iliac artery aneurysm, emphasizing the importance of the accurate monitoring of intra-abdominal pressure, medical therapy and timely laparotomy. An 85-year old male was submitted to the endovascular repair of a ruptured iliac artery aneurysm. On the first day after the intervention, he developed abdominal compartment syndrome which did not resolve with medical therapy. Consequently, on the second postoperative day, a decompressive laparotomy was performed, removing the retroperitoneal haematoma, which was the main cause of the high intra-abdominal pressure and the abdominal compartment syndrome. At 12 months of follow-up, there was no evidence of complications. This case stresses the importance of early recognition of abdominal compartment syndrome.

Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery

An 84-year-old woman with a history of surgery for cholangiocarcinoma presented to Akita University Hospital with severe right lower abdominal pain, respiratory distress, and hypotension. Computed tomography scanning revealed a ruptured right common iliac artery aneurysm with a massive right retroperitoneal hematoma and a right internal iliac artery aneurysm. Under the bilateral retroperitoneal approach, we preformed an in-situ repair of an aneurysm rupture from the aorta to the left common and right external iliac arteries using a bifurcated knitted Dacron graft, and then we ligated the right internal iliac artery. The postoperative course of the patient was uneventful. The patient was discharged from hospital 52 days after surgery. In conclusion, a bilateral retroperitoneal approach may be a safe and useful strategy for in-situ repair of a right iliac artery aneurysm rupture in patients with peritoneal adhesions after transperitoneal abdominal surgery.

Isolated iliac artery aneurysm rupture presenting as left iliac fossa pain and diarrhoea: A case report

Isolated iliac aneurysm rupture is rare and difficult to diagnose, but needs to be actively considered and excluded. We document the case of a 71 year old female who presented with left iliac fossa pain and diarrhoea and was subsequently found to have a ruptured isolated iliac artery aneurysm. This case demonstrates the importance of urgent diagnostic CT in surgical patients, who present with features of abdominal pain and shock. The key to survival is early diagnosis, appropriate resuscitation and prompt definitive open or endovascular repair.

Iliac Artery Pseudoaneurysm Rupture Following Excision of an Infected Hip Prosthesis

We report a case of external iliac artery aneurysm rupture during removal of the acetabular component for septic loosening. Potentially fatal hemorrhage would have occurred if the risk had not been recognized, and the external iliac vessels exposed to gain vascular control before proceeding with implant removal. A review of the literature on vascular injury at revision hip surgery is presented.

Internal iliac artery aneurysm rupture secondary to anticoagulation causing sciatica

An 89-year-old man presented with chest pain lasting three hours associated with dyspnoea and dizziness. He had a history of asthma, prostate cancer and osteoarthritis. He had previously been independent and mobile. On examination, he was haemodynamically stable, chest and cardiovascular examinations were normal. An electrocardiogram showed sinus rhythm with no acute changes. D-Dimers were elevated and initial troponin I was 0.08 mg/L (N < 0.03 mg/L). Arterial blood gas examination on air revealed pH 7.425, pCO2 5.17 (kPa) and pO2 9.09 (kPa). Treatment for a possible pulmonary embolism was commenced but this was stopped when CT pulmonary angiography showed no evidence of pulmonary embolism. As a repeat troponin at 12 hours rose to 0.25mg/L (N < 0.03 mg/L), treatment was commenced for the acute coronary

Internal iliac artery aneurysm rupture with aorto-enteric fistula after reconstruction of abdominal aortic aneurysm: report of a case

Internal iliac artery aneurysm rupture with aorto-enteric fistula after reconstruction of abdominal aortic aneurysm: report of a case

Simultaneous Rupture of Bilateral Iliac Artery Aneurysm in a Patient with Obstructive Colon Carcinoma

A case of a 79-year-old patient is presented with simultaneous bilateral rupture of iliac artery aneurysms and an obstructive carcinoma of the left colon. Open surgical repair was performed with placement of a bifurcated aortobi-iliac graft followed by tight closure of the retroperitoneum and subsequent left hemicolectomy with exteriorization of both colon ends. The patient was discharged from hospital with no signs of graft infection during a 4-year follow-up period. Rupture of iliac artery aneurysm can occur concomitantly with bowel obstruction. Open synchronous repair of both life-threatening conditions is feasible requiring meticulous surgical technique for avoiding graft contamination.

Simultaneous Rupture of Bilateral Iliac Artery Aneurysm in a Patient with Obstructive Colon Carcinoma

A case of a 79-year-old patient is presented with simultaneous bilateral rupture of iliac artery aneurysms and an obstructive carcinoma of the left colon.Open surgical repair was performed with placement of a bifurcated aortobi-iliac graft followed by tight closure of the retroperitoneum and subsequent left hemicolectomy with exteriorization of both colon ends. The patient was discharged from hospital with no signs of graft infection during a 4-year follow-up period.Rupture of iliac artery aneurysm can occur concomitantly with bowel obstruction. Open synchronous repair of both life-threatening conditions is feasible requiring meticulous surgical technique for avoiding graft contamination.