Surgery Today

, Volume 27, Issue 9, pp 863–867 | Cite as

Intermittent claudication associated with persistent sciatic artery: Report of two cases

  • Masafumi Yamaguchi
  • Shinsuke Mii
  • Takashi Kai
  • Hisanobu Sakata
  • Akira Mori
Case Reports

Abstract

Two elderly women complaining of intermittent claudication complicated with persistent sciatic artery are herein reported. A direct femoral arteriogram showed hypoplasty of the superficial femoral artery and an unnatural anatomical relationship between the distal superficial femoral artery and the proximal popliteal artery, thus suggesting the presence of persistent sciatic artery. The diagnosis of persistent sciatic artery was finally made based on the aortography findings including the iliac arterial system and computed tomography (CT) scan. Magnetic resonance imaging (MRI) was helpful to demonstrate the entire image of this anomaly in cases with non-thrombolized sciatic artery. These diagnostic methods were useful in designing the optimal surgical strategy. The first case with a gluteal pulsating mass underwent exclusion of the persistent sciatic artery including the aneurysm through a retroperitoneal approach with a combination of femorotibial bypass, while the second case with thrombosed persistent sciatic artery only underwent femoropopliteal bypass. To recognize such a rare lesion, awareness of the differential diagnosis is important, and to provide appropriate treatment, an accurate whole image including adequate angiography, a CT scan, and magnetic resonance imaging is necessary.

Key Words

persistent sciatic artery aneurysm intermittent claudication 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Masafumi Yamaguchi
    • 1
  • Shinsuke Mii
    • 1
  • Takashi Kai
    • 1
  • Hisanobu Sakata
    • 1
  • Akira Mori
    • 1
  1. 1.Department of SurgeryNippon Steel Corporation Yawata Works HospitalKitakyushu-cityJapan

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