Hypogastric and lumbar artery bypasses to restore gluteal perfusion after open aortoiliac aneurysm repair
Gluteal ischemia is a rare but often fatal complication after open abdominal aortic aneurysm repair. A 67-year-old man with an aortoiliac aneurysm presented with a patent right internal iliac artery (IIA) and an occluded left IIA. A bifurcated graft replacement was performed with both limbs of the g...
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| Veröffentlicht in: | Journal of vascular surgery 2013-10, Vol.58 (4), p.1073-1075 |
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| container_issue | 4 |
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| container_title | Journal of vascular surgery |
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| creator | Kemmochi, Reiko, MD Matsumoto, Mitsuaki, MD Kubo, Yoji, MD Yamasawa, Takahiko, MD |
| description | Gluteal ischemia is a rare but often fatal complication after open abdominal aortic aneurysm repair. A 67-year-old man with an aortoiliac aneurysm presented with a patent right internal iliac artery (IIA) and an occluded left IIA. A bifurcated graft replacement was performed with both limbs of the graft anastomosed to the external iliac arteries. The right IIA was ligated and the inferior mesenteric artery was reimplanted. Postoperatively, the patient developed right gluteal ischemia. Hypogastric and lumbar artery bypasses were immediately performed and the patient recovered without gait disturbance. This treatment prevented potentially fatal necrosis of the buttock. |
| doi_str_mv | 10.1016/j.jvs.2012.12.079 |
| format | Article |
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A 67-year-old man with an aortoiliac aneurysm presented with a patent right internal iliac artery (IIA) and an occluded left IIA. A bifurcated graft replacement was performed with both limbs of the graft anastomosed to the external iliac arteries. The right IIA was ligated and the inferior mesenteric artery was reimplanted. Postoperatively, the patient developed right gluteal ischemia. Hypogastric and lumbar artery bypasses were immediately performed and the patient recovered without gait disturbance. 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A 67-year-old man with an aortoiliac aneurysm presented with a patent right internal iliac artery (IIA) and an occluded left IIA. A bifurcated graft replacement was performed with both limbs of the graft anastomosed to the external iliac arteries. The right IIA was ligated and the inferior mesenteric artery was reimplanted. Postoperatively, the patient developed right gluteal ischemia. Hypogastric and lumbar artery bypasses were immediately performed and the patient recovered without gait disturbance. 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| issn | 0741-5214 1097-6809 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - physiopathology Aortic Aneurysm - surgery Aortography - methods Blood Vessel Prosthesis Implantation - adverse effects Buttocks - blood supply Collateral Circulation Humans Iliac Aneurysm - diagnostic imaging Iliac Aneurysm - physiopathology Iliac Aneurysm - surgery Ischemia - diagnostic imaging Ischemia - etiology Ischemia - physiopathology Ischemia - surgery Male Regional Blood Flow Reoperation Surgery Tomography, X-Ray Computed Treatment Outcome |
| title | Hypogastric and lumbar artery bypasses to restore gluteal perfusion after open aortoiliac aneurysm repair |
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