Bilateral Persistent Sciatic Arteries Complicated with Aneurysmal Dilatation and Thrombotic Occlusion: A Case Report
장서진, 한윤희, 권재현,
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장서진 ( Jang Seo-Jin )
Dongguk University School of Medicine Dongguk University Ilsan Hospital Department of Radiology
한윤희 ( Han Yoon-Hee )
Dongguk University School of Medicine Dongguk University Ilsan Hospital Department of Radiology
권재현 ( Kwon Jae-Hyun )
Dongguk University School of Medicine Dongguk University Ilsan Hospital Department of Radiology
Abstract
Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to aneurysms and accounts for 40?61% of the cases. Here, we describe a case of PSA in a 70-year-old man with a history of alcoholic liver cirrhosis. Bilateral complete PSAs were detected incidentally on computed tomography angiography during evaluation for spontaneous intramuscular bleeding in the thigh due to cirrhosis-related coagulopathy. Selective angiography of the left PSA revealed aneurysmal dilatation and thrombotic occlusion of the PSA, which was partially removed with aspiration thrombectomy. Intramuscular bleeding was succesfully managed with empirical embolization of the deep femoral artery.
키워드
Lower Extremity; Computed Tomography Angiography; Endovascular Procedures; Aneurysm; Thrombosis; Congenital Abnormalities
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