Nair Riju, Nair Shiv, Smitha Mary, Ramdas Dipin
Department of Cardiovascular and Thoracic Surgery, Rajagiri Hospital, Ernakulam, Kerala India.
Department of Cardiovascular and Thoracic Anesthesiology, Rajagiri Hospital, Ernakulam, Kerala India.
Indian J Thorac Cardiovasc Surg. 2025 May;41(5):615-619. doi: 10.1007/s12055-024-01860-0. Epub 2024 Dec 6.
Persistent sciatic artery is a rare congenital vascular anomaly of the lower limb arterial system. The entity is known to swindle surgeons worldwide with its unusual way of presentation. Suspicion remains the key for early diagnosis and treatment primarily depends on the symptomatology of the patient. We intend to report a series of two cases where the surgeons were literally vexed before a diagnosis was made. The report emphasises the need for further evaluation in situations where symptoms and clinical findings are contradictory. Readily available computed tomography angiography confirms the diagnosis and an early diagnosis makes a huge difference in patient outcome.
持续性坐骨动脉是下肢动脉系统一种罕见的先天性血管异常。已知该病症以其不寻常的表现方式迷惑了世界各地的外科医生。怀疑仍然是早期诊断的关键，而治疗主要取决于患者的症状。我们打算报告一系列两例病例，在确诊之前外科医生确实感到困惑。该报告强调，在症状与临床发现相互矛盾的情况下需要进一步评估。现成的计算机断层扫描血管造影可确诊，早期诊断对患者的预后有巨大影响。
