Primarily infected aortic aneurysms represent a small percentage (0.7-1.31%) of abdominal aortic aneurysms. In this paper, we present a case of a 57-year-old man who was admitted to hospital because of abdominal pain and accompanying fever. Initial diagnosis revealed rupture of aortic bifurcation and the patient was qualified for surgical treatment. Intraopeatively, we encountered ruptured aneurysm of aortic bifurcation, additionally we discovered features of infection (cultures revealed Staphylococcus aureus spp.), which precluded the use of a dacron prostheis. Due to the stable hemodynamic status of the patient, we decided to perform "in situ" aorto-iliac reconstruction using deep vein harvested from the single lower limb. Such procedures are rarely performed on an emergency basis, however, potential benefits may outweigh the risk of a more technically challenging procedure. In the postoperative course antimicrobial treatment against Staphylococcus aureus was continued for 12 weeks after surgery. There has been a good long-term patency during more than 5 years of follow-up with no signs of reinfection or degeneration of the graft.
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Unveiling the uncommon: hypoplasia of external iliac artery-a case report and literature review.
J Cardiothorac Surg
January 2025
Department of Cardiovascular Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, P. R. China.
The absence or dysplasia of the iliac artery(IA) is an exceedingly rare condition, with limited cases documented in the literature. In this report, we present a case of hypoplasia of the right external iliac artery (EIA) in a 69-year-old male patient. The patient presented with right lower abdominal pain attributed to an aneurysm of the right internal iliac artery (IIA), yet notably, there was no evidence of lower limb ischemia at the time of consultation.
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Am J Transplant
January 2025
Erasmus MC Transplant Institute, Division of HPB/Transplant Surgery, Erasmus Medical Centre Rotterdam. Electronic address:
With an increasingly aging population, both end-stage renal disease and peripheral artery disease become more prevalent. Peripheral artery disease is increasingly treated with endovascular procedures. Endovascular stenting of the external iliac artery (EIA) is often considered a contraindication for kidney transplantation, as clamping of the artery could result in possible injuring of the stent.
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Front Surg
December 2024
School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Background: Current guidelines recommend preserving at least one of the bilateral pelvic flows in patients with aortoiliac aneurysms. The sandwich parallel graft, using commercially available devices, provides a viable option for patients who fall outside the instructions for use of iliac branch devices. However, gutter endoleak remains a significant challenge.
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Purpose: A persistent trigeminal artery is the most common persistent carotid-vertebrobasilar anastomosis. Persistent trigeminal artery variants (PTAVs) terminate in the cerebellar arteries without connecting to the basilar artery; of these, the anterior inferior cerebellar artery (AICA) is the most common. AICA duplication is frequently observed.
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