Abstract
Aneurysm of the persistent sciatic artery is a rare cause of limb ischemia, which is a challenge for both diagnosis and treatment. After successful diagnosis adequate treatment may require skills in open and endovascular surgery. We present a patient with the aneurysm of the persistent sciatic artery treated by bypass procedure with PTFE graft using posterior approach. We named this procedure “dorsal bypass”. Detailed explanation of clinical presentation, diagnosis and the surgical procedure is given in this paper.
Get full access to this article
View all access options for this article.
References
1.
Cowie
TN
Mckellar
NJ
McLean
N
. Unilateral congenital absence of the external iliac and femoral arteries . Br J Radiol 1960 ; 33 : 520 –522 .
2.
Sidway
AN
Embryology of the vascular system . In:
Rutherford
RB
(eds). Vascular surgery , 6th ed . Philadelphia, PA : Elsevier , 2005 , pp. 53 –63 .
3.
Kritsch
D
Hutter
HP
Hirschl
M
. Persistent sciatic artery: an uncommon cause of intermittent claudication . Int Angiol 2006 ; 25 : 327 –329 .
4.
Bower
EB
Smullens
SN
Parker
WW
. Clinical aspects of persistent sciatic artery: report of two cases and review of literature . Surgery 1977 ; 81 : 588 –595 .
5.
Pillet
J
Albaret
P
Toulemonde
JL
. Tronc arteriel ischiopoplite, persistance de l’artere axiale . Bull Assoc Anat 1980 ; 64 : 109 –122 .
6.
Van Hooft
IM
Zeebregts
CJ
van Sterkenburg
SM
. The persistent sciatic artery . Eur J Vasc Endovasc Surg 2009 ; 37 : 585 –591 .
7.
Fearing
NM
Ammar
AD
Hutchinson
SA
. Endovascular stent graft repair of a persistent sciatic artery aneurysm . Ann Vasc Surg 2005 ; 19 : 438 –441 .
8.
Gabelmann
A
Krämer
SC
Wisianowski
C
. Endovascular interventions on persistent sciatic arteries . J Endovasc Ther 2001 ; 8 : 622 –628 .
9.
Dro ż d ż
W
Urbanik
A
Budzyński
P
. A case of bilateral persistent sciatic artery with unilateral aneurysm: an 18-year period of graft patency after excision of aneurysm . Ann Vasc Surg 2005 ; 19 : 438 –441 .
