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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR SECTION
The Journal of Cardiovascular Surgery 2001 Giugno;42(3):389-92
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
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.