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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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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