Michel C, Richard T, Jue Denis P, Laffy P Y, Leblanc G, Le Guen O, Riou J Y, Maklouf M
Service de Radiologie Cardio-Vasculaire, Centre Médico-Chirurgical de l'Europe, 9 bis, rue de Saint-Germain, 78560 Le Port Marly.
J Radiol. 2003 Dec;84(12 Pt 1):1975-7.
The authors report a case of persistent sciatic artery presenting with limb ischemia and pulsatile mass in the buttock treated only by femoro tibio peroneal by pass graft since follow up helical CTA at six months showed spontaneous aneurysmal exclusion by thrombosis of the persistent sciatic artery above the aneurysm. Review of the literature confirms the rarity of this anomaly, which is frequently associated with aneurysmal transformation and its specific inherent complications. It is treated by femoro popliteal shunt with endovascular embolization.
作者报告了一例持续性坐骨动脉病例，该病例表现为肢体缺血和臀部搏动性肿块，仅通过股胫腓旁路移植术进行治疗，因为六个月后的随访螺旋CTA显示，动脉瘤上方的持续性坐骨动脉血栓形成导致动脉瘤自发排除。文献回顾证实了这种异常情况的罕见性，它常与动脉瘤转变及其特定的固有并发症相关。治疗方法为采用血管内栓塞的股腘分流术。
