INTRODUCTION: Ruptured common iliac aneurysms present with diagnostic and therapeutic challenges. This case describes the successful outcome in a patient with complex vascular surgical history. CASE PRESENTATION: An elderly patient presented with abdominal pain confirmed by CT as leaking iliac aneurysm. He had previously undergone an aorto-bifemoral bypass graft for ruptured abdominal aortic aneurysm. The iliac aneurysm was treated by simple ligation of the external iliac artery. DISCUSSION: Aorto-bifemoral bypass graft may be required for aortic aneurysm repair in severe iliac calicification. Iliac artery fed by retrograde blood flow from the aorto-bifemoral bypass graft contributed to aneurysm development here.
INTRODUCTION: Ruptured common iliac aneurysms present with diagnostic and therapeutic challenges. This case describes the successful outcome in a patient with complex vascular surgical history. CASE PRESENTATION: An elderly patient presented with abdominal pain confirmed by CT as leaking iliac aneurysm. He had previously undergone an aorto-bifemoral bypass graft for ruptured abdominal aortic aneurysm. The iliac aneurysm was treated by simple ligation of the external iliac artery. DISCUSSION: Aorto-bifemoral bypass graft may be required for aortic aneurysm repair in severe iliac calicification. Iliac artery fed by retrograde blood flow from the aorto-bifemoral bypass graft contributed to aneurysm development here.
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Keywords:
aorto-bifemoral bypass graft; common iliac aneurysm; rupture