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Embolization of Isolated Hypogastric Artery Aneurysm: A Case Report and a Review of the Literature

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Abstract

A 75-year-old man with arterial hypertension, coronary artery disease, and myocardial infarction was referred to our service because of an asymptomatic hypogastric artery aneurysm (HAA) detected by a routine compued tomography (CT) scan. As shown on the angio-CT the maximum transverse diameter (m.t.d.) of the HAA was 47 mm. There were no symptoms of distal embolization or compression on the pelvic structures. We performed the successful complete thrombosis of the aneurysm using vascular plugs via a controlateral femoral approach. The control angiogram was satisfactory and there were no intraoperative complications. A CT-angiography done 4 months after the procedure showed no signs of refilling of the aneurysm sac. This case illustrates some possible advantages of vascular plugs in the treatment of isolated HAA.

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References

  1. Brunkwall J, Hauksson H, Bengtsson H, et al.(1989) Solitary aneurysm of the iliac system: an estimate of their frequency of occurence. J Vasc Surg 10:381–384

    Article  CAS  PubMed  Google Scholar 

  2. Lucke B, Rea MH (1921) Studies on aneurysm: I. General statistical data on aneurysms. JAMA 77:935–940

    Article  Google Scholar 

  3. Parry DJ, Kessel D, Scott DJA (2001) Simplifying the internal iliac artery aneurysm. Ann R Coll Surg Engl 83:302–308

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Brin BJ, Busuttil RW (1982) Isolated hypogastric artery aneurysms. Arch Surg 117:1329–13335

    Article  CAS  PubMed  Google Scholar 

  5. Zimmer PW, Raker EJ, Quigley TM (1999) Isolated hypogastric artery aneurysms. Ann Vasc Surg 13:545–549

    Article  CAS  PubMed  Google Scholar 

  6. Rispoli P, Raso AM, Varetto G, et al. (2003) Aneurysms of the hypogastric artery following surgery of the abdominal aorta. A report of two cases and review of the literature. J Cardiovasc Surg 44:647–653

    CAS  Google Scholar 

  7. Melki JP, Fichelle JM, Cormier F, et al. (2001) Embolization of hypogastric artery aneurysm: 17 cases. Ann Vasc Surg. 15:312–320

    Article  CAS  PubMed  Google Scholar 

  8. McLaren A, (1913) Aneurysm of the internal iliac artery, probably following a severe instrumental delivery: operation and partial cure. Ann Surg 117:73–75

    Google Scholar 

  9. Markowitz AM, Norman JC (1961) Aneurysm of the iliac artery. Ann Surg 154:777–786

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Richardson JW, Greenfield LJ (1988) Natural history and management of iliac aneurysm. J Vasc Surg 8:165–171

    Article  CAS  PubMed  Google Scholar 

  11. Johnston KW, Rutherford RB, Tilson MD, et al. (1991) Suggested standards for reporting on arterial aneurysms. Ad hoc committee on reporting standards, Society for Vascular Surgery, North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 13:452–457

    Article  CAS  PubMed  Google Scholar 

  12. Perdue GD, Mittenthal MJ, Smith RB (1983) Aneurysm of the internal iliac artery. Surgery 93:243–246

    CAS  PubMed  Google Scholar 

  13. Battaglia L, Morucci M, Bartolucci R, et al. (1998) Percutaneous embolization of an isolated hypogastric artery aneurysm.A case report. J Cardiovasc Surg (Torino) 39:761–763

    CAS  Google Scholar 

  14. Cynamon J, Prabhaker P, Twersky T (2001) Techniques for hypogastric artery embolization. Tech Vasc Intervent Radiol. 4:236–242

    Article  CAS  Google Scholar 

  15. Wolpert LM, Drezner AD, Hallisey MJ, et al. (2004) Transcatheter embolization of hypogastric artery aneurysms: lessons learned. Ann Vasc Surg 18:474–480

    Article  PubMed  Google Scholar 

  16. Fahrni M, Lachat MM, et al. (2003) Endovascular therapeutic options for isolated iliac aneurysms with a working classification. Cardiovasc Intervent Radiol 26:443–447

    Article  PubMed  Google Scholar 

  17. O’Brien CJM, Rankin RN (1994) Percutaneous management of large-neck pseudoaneurysms with arterial stent placement and coil embolization. J Vasc Intervent Radiol 5:443–448

    Article  Google Scholar 

  18. Owen RJT, Jackson R, Loose HW, et al. (2000) Percutaneous ablation of an internal iliac aneurysm using tissue adhesive. Cardiovasc Intervent Radiol 23:389–402

    Article  CAS  PubMed  Google Scholar 

  19. Brountzos EN, Malagari K, Papathanasiou MA, et al. (2003) Internal iliac artery aneurysm embolization with fibrin sealant: a simple and effective solution. Cardiovasc Intervent Radiol 26:76–80

    Article  PubMed  Google Scholar 

  20. Holzer R, Cao QL, Sandhu S, et al. (2004) The Amplatzer Vascular Plug: an addition to our interventional armamentarium. Pediatr Cardiol Today 2:6–8

    Google Scholar 

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Authors and Affiliations

  1. Department of Vascular and Interventional Radiology, San Camillo Hospital, Rome, Italy

    Lorenzo dé Medici

  2. 1st School of Vascular Surgery, University “La Sapenza”, Via Prato della Signora 15, Rome, 00199, Italy

    Federico Bucci

  3. Department of Vascular Surgery, San Camillo Hospital, Rome, Italy

    Fabrizio Nesi & Giorgio Rabitti

Authors
  1. Lorenzo dé Medici
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  2. Federico Bucci
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  3. Fabrizio Nesi
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  4. Giorgio Rabitti
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Correspondence to Federico Bucci.

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Medici, L.d., Bucci, F., Nesi, F. et al. Embolization of Isolated Hypogastric Artery Aneurysm: A Case Report and a Review of the Literature. Cardiovasc Intervent Radiol 29, 893–896 (2006). https://doi.org/10.1007/s00270-005-5204-5

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  • DOI: https://doi.org/10.1007/s00270-005-5204-5

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