Costa Dominique Rodas, Fidelis Ronald José Ribeiro, Dos Santos Vanessa Prado, Fidelis Cícero, Alves Carlos Alberto Silveira, de Araújo José Siqueira
Universidade Federal da Bahia - UFBA, Serviço de Cirurgia Vascular do Complexo Hospitalar Universitário Professor Edgard Santos, Salvador, BA, Brasil.
Universidade Federal da Bahia - UFBA, Instituto de Humanidades, Artes e Ciências Professor Milton Santos, Salvador, BA, Brasil.
J Vasc Bras. 2018 Jan-Mar;17(1):49-54. doi: 10.1590/1677-5449.008617.
A persistent sciatic artery is a rare congenital vascular anomaly. The most common complication is aneurysm. Clinical presentation may include symptoms resulting from arterial dilatation and ischemia caused by thrombosis or embolization. There are diverse options for treatment of this rare condition, ranging from ligature of the aneurism to endovascular repair. This report describes the case of a female patient complaining of a pulsating mass in the left buttock. She was referred to a Vascular Service where an angiotomography showed complete bilateral persistence of the sciatic artery, with an aneurysm of the left sciatic artery. The aneurysm was treated with endovascular techniques, via a contralateral approach, with placement of two stent grafts and preservation of distal patency. Patency is particularly important in cases of this anatomical variation in which the persistent sciatic artery is complete. This patient recovered well.
持续性坐骨动脉是一种罕见的先天性血管异常。最常见的并发症是动脉瘤。临床表现可能包括动脉扩张以及血栓形成或栓塞导致的缺血所引起的症状。对于这种罕见病症有多种治疗选择，从动脉瘤结扎到血管内修复。本报告描述了一名女性患者，她主诉左臀部有搏动性肿块。她被转诊至血管科，血管造影显示双侧坐骨动脉完全持续存在，左坐骨动脉有一个动脉瘤。通过对侧入路采用血管内技术治疗该动脉瘤，放置了两个支架移植物并保留了远端通畅。在持续性坐骨动脉完全存在这种解剖变异的病例中，通畅性尤为重要。该患者恢复良好。
