Pham Minh-Anh, Le Thanh-Phong
Department of Vascular Surgery, Cho Ray Hospital, Hochiminh City, Vietnam.
J Vasc Surg Cases Innov Tech. 2021 Jan 28;7(1):108-112. doi: 10.1016/j.jvscit.2020.12.012. eCollection 2021 Mar.
Bilateral absence of the common iliac artery is an extremely rare congenital vascular malformation in which the distal aorta divides directly into two external iliac arteries and two internal iliac arteries. In the case of the presence of this vascular malformation in association with an aortic aneurysm, preservation of the internal iliac artery flow during endovascular aortic repair represents a technical challenge. We have reported a case in which the bilateral absence of the common iliac artery associated with an infrarenal abdominal aortic aneurysm was successfully treated by endovascular aortic repair using commercially available iliac branched devices to maintain pelvic perfusion.
双侧髂总动脉缺如是一种极为罕见的先天性血管畸形，其中远端主动脉直接分为两条髂外动脉和两条髂内动脉。在这种血管畸形与主动脉瘤并存的情况下，血管内主动脉修复过程中保留髂内动脉血流是一项技术挑战。我们报告了一例病例，其中与肾下腹主动脉瘤相关的双侧髂总动脉缺如通过使用市售的髂支装置进行血管内主动脉修复成功治疗，以维持盆腔灌注。
