Shirasu Takuro, Akai Atsushi, Motoki Manabu, Kato Masaaki
Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
J Vasc Surg Cases Innov Tech. 2023 Feb 10;9(2):101119. doi: 10.1016/j.jvscit.2023.101119. eCollection 2023 Jun.
We report a case of 55 mm abdominal aortic aneurysm coinciding with a rare congenital anomaly of proximal origin of bilateral internal iliac arteries (IIAs). Because renal to iliac bifurcation lengths were bilaterally short (129 mm and 125 mm), a trunk-ipsilateral leg and an iliac leg were deployed before iliac branch component insertion into the iliac leg. With help of a pull-through wire, internal iliac component was delivered without migration of the main body. The left IIA was embolized, but the right IIA was successfully preserved with commercially available iliac branch endoprosthesis only from femoral approaches, and the patient fully recovered without any complication.
我们报告一例55毫米腹主动脉瘤合并双侧髂内动脉（IIA）近端起源罕见先天性异常的病例。由于双侧肾至髂总动脉分叉长度较短（分别为129毫米和125毫米），在髂支组件插入髂总动脉之前，先部署了主干同侧下肢和髂总动脉下肢。在一根牵拉导丝的帮助下，输送髂内动脉组件时主体未发生移位。左侧髂内动脉被栓塞，但仅通过股动脉入路使用市售髂支腔内移植物成功保留了右侧髂内动脉，患者完全康复且无任何并发症。
