Key result
A staged hybrid surgical approach successfully treated bilateral internal iliac and common iliac artery aneurysms while preserving pelvic perfusion in a young patient.
Case Report (n=1)
A staged hybrid surgical approach can successfully treat complex bilateral common and internal iliac artery aneurysms while preserving pelvic perfusion.
Hybrid repair may preserve pelvic perfusion in select bilateral iliac aneurysms; single case leaves open need for prospective validation before wider use.
A case of a young patient with incidental bilateral internal iliac artery aneurysms and common iliac artery aneurysms is described. A staged hybrid surgical approach was performed to preserve pelvic perfusion, with bilateral stent grafts deployed into an ipsilateral anterior division branch and contralateral posterior division branch of the internal iliac arteries. One week later, an open infrarenal aorto-bi-iliac graft was performed with distal anastomoses to the previously deployed stent grafts. The findings from the present case add to the growing number of reported cases of hybrid repair of bilateral internal iliac and common iliac artery aneurysms with preservation of pelvic perfusion.
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Obrand et al. (2023) conducted a case report in Bilateral internal iliac artery aneurysms and common iliac artery aneurysms (n=1). Staged hybrid surgical approach was evaluated. A staged hybrid surgical approach successfully treated bilateral internal iliac and common iliac artery aneurysms while preserving pelvic perfusion in a young patient.
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