Ho Anthony, Slagle Jacob, Vellody Ranjith, Meagher Elisabeth, Sharma Karun, Yadav Bhupender
Interventional Radiology Service, Children's National Hospital, Washington, D.C.
J Vasc Surg Cases Innov Tech. 2021 Jan 28;7(2):262-265. doi: 10.1016/j.jvscit.2020.12.018. eCollection 2021 Jun.
Reports of aortoiliac variant anatomy are rare, especially in the pediatric population. A 3-year-old male patient with hypertension and left foot polydactyly with syndactyly was referred to our interventional radiology service for evaluation of a possible renovascular cause of the hypertension. Angiograms revealed an extremely rare anatomic variant consisting of the absence of the common iliac arteries bilaterally, resulting from quadfurcation of the abdominal aorta into the bilateral internal and external iliac arteries. Additionally, a persistent left sciatic artery was identified.
关于主髂动脉解剖变异的报道很少，尤其是在儿科人群中。一名患有高血压和左脚多指并指畸形的3岁男性患者被转诊至我们的介入放射科，以评估高血压可能的肾血管病因。血管造影显示一种极其罕见的解剖变异，即双侧髂总动脉缺如，这是由于腹主动脉四叉分为双侧髂内动脉和髂外动脉所致。此外，还发现了一条持续存在的左侧坐骨动脉。
