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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2001 June;42(3):389-92

lingua: Inglese

Continuing expansion of internal iliac artery aneurysms after surgical exclusion of the inflow. A report of two cases

Ruurda J. P., Rijbroek A., Vermeulen E. G. J., Wisselink W., Rauwerda J. A.

From the Depart­ment of Vas­cular Sur­gery Uni­ver­sity Hos­pital “­Vrije Uni­ver­siteit” Amsterdam, The Neth­er­lands


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Two ­patients ­with con­tin­uing expan­sion of an ­internal ­iliac ­artery aneu­rysm fol­lowing ear­lier ­repair of an aor­toi­liac aneu­rysm are ­described. At the pri­mary oper­a­tion, ­inflow to ­small ­internal ­iliac aneu­rysms had ­been inter­rupted by ­simple prox­imal liga­tion ­only. ­During ­follow-up, how­ever, ­increasing diam­eter of the by CT-angio­graphy com­pletely throm­bosed ­internal ­iliac aneu­rysms ­required re-oper­a­tion. The obser­va­tion of con­tin­uing ­growth of throm­bosed ­internal ­iliac ­artery aneu­rysms fol­lowing prox­imal liga­tion empha­sises the ­danger of per­sis­tent col­lat­eral cir­cu­la­tion and sup­ports the con­cept of endo­ten­sion in the ­absence of endo­leak fol­lowing endo­vas­cular AAA ­repair.

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