Retrograde filling of an internal iliac artery aneurysm via the profunda femoris artery: A case report of type IIa endoleak.

Autor:	Alsahwan AG; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; Department of Surgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia. Electronic address: Sahwan.ag@hotmail.com., Almumtin A; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Sadig MA; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; Department of Surgery, Faculty of Medicine, University of Dongola, Dongola, Sudan., Alahmadi O; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Binkhamis S; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Abdulrahim O; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Nov 29; Vol. 126, pp. 110682. Date of Electronic Publication: 2024 Nov 29.
DOI:	10.1016/j.ijscr.2024.110682
Abstrakt:	Introduction: Internal iliac artery aneurysms (IIAAs) are an uncommon but clinically significant vascular condition that can lead to life-threatening complications, such as rupture and endoleaks, following endovascular repair. Endoleaks particularly type IIa, occur when there is retrograde flow into the aneurysm sac from collateral vessels, and their presence can jeopardize the success of repair procedures. This case report illustrates a rare occurrence of a type IIa endoleak attributed to retrograde filling from the profunda femoris artery, providing insights into the diagnostic complexities and management of IIAAs. Case Presentation: A 32-year-old male with a history of hypertension and end-stage renal disease, who was incidentally found to have a large, partially thrombosed IIAA while undergoing evaluation for kidney transplantation. The initial endovascular treatment effectively excluded the aneurysm, but a type IIa endoleak with retrograde filling from the profunda femoris artery was identified during follow-up imaging. Despite attempts at endovascular embolization, the endoleak persisted, leading to a decision for open surgical intervention. The surgical procedure successfully resolved the endoleak and decompressed the aneurysm. Discussion: This case highlights the complexities of managing IIAAs and the potential for unusual collateral flows to complicate endovascular treatments, underscoring the importance of tailored surgical strategies and the need for close postoperative monitoring. Conclusion: This case illustrates the need for heightened awareness of the profunda femoris artery as a potential source of type IIa endoleaks in the context of internal iliac artery aneurysms. Competing Interests: Conflict of interest statement The authors have no competing interests. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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