孤立性髂总动脉瘤的血管内治疗：一例报告。

Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia.

Cardiovascular Surgery Department, Rabta Hospital, Tunis, Tunisia.

Pan Afr Med J. 2021 Sep 30;40:69. doi: 10.11604/pamj.2021.40.69.30814. eCollection 2021.

Isolated iliac artery aneurysms are rare, and treatment by conventional surgery gives good results. Endovascular repair of such aneurysms has recently become the preferred form of treatment, provided the appropriate anatomy for endovascular repair exists. We report the case of a 60-year-old man admitted in our department for an aneurysm of the left primitive iliac artery revealed by intermittent claudication and treated by a covered stent after embolization of the hypogastric artery by an Amplatzer Vascular Plug with a good result. This case highlights the importance of preservation of the collaterals of the hypogastric artery when you treat such entity; in order to avoid transient gluteal claudication and sexual dysfunction.

孤立性髂动脉动脉瘤比较罕见，传统手术治疗效果良好。对于存在合适血管内修复解剖结构的患者，血管内修复已成为首选的治疗方式。我们报告了 1 例 60 岁男性患者，因间歇性跛行就诊于我科，发现左侧原始髂动脉瘤，通过 Amplatzer 血管塞（Vascular Plug）对腹下动脉进行栓塞后，采用覆膜支架治疗，效果良好。该病例强调了在治疗此类病变时保护腹下动脉侧支循环的重要性，以避免出现短暂性臀肌跛行和性功能障碍。