Isolated iliac artery aneurysms occur infrequently. They comprise about 2 per cent of all abdominal aneurysms. Most patients are symptomatic at the time of presentation. The average diameter is 5.7 cm at diagnosis. We report the acutely symptomatic presentation of a 76-year-old African-American man with 7- and 9-cm bilateral common iliac and a right hypogastic artery aneurysms. Aneurysmorrhaphy was complicated by pelvic ischemia. Colonoscopy and arteriography were used postoperatively to evaluate the extent of his worsening gluteal ischemia. Restoration of pelvic blood flow corrected his gluteal ischemia.
TsukamotoS, OhiraM, OkumuraH, . Bilateral common iliac artery aneurysms secondary to fibromuscular dysplasia accompanied with a coronary aneurysm: A case report.J Cardiovasc Surg (Torino)1995;36:587–90.
3.
WhitmoreAD, BelkinM.Isolated iliac artery aneurysm. In: ErnstCB, StanleyJC, eds. Current Therapy in Vascular Surgery. 2nd Ed.Philadelphia: BC Decker Inc, 1991, pp 332–5.
ParsonsRE, MarinML, VeithFJ, . Midterm results of endovascular stented grafts for the treatment of isolated iliac artery aneurysms.J Vasc Surg1999;30:915–21.
