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Revista Colombiana de Cirugía
Print version ISSN 2011-7582
Abstract
MORALES, Cristiam Alexander et al. Aneurysm of persistent sciatic artery with secondary ischemia of the lower extremity, literature review and case presentation. rev. colomb. cir. [online]. 2017, vol.32, n.1, pp.61-67. ISSN 2011-7582. https://doi.org/10.30944/20117582.9.
The persistent sciatic artery (PCA) is a rare congenital anomaly that may present asymptomatic or as a pulsating mass in the buttock, acute limb ischemia or sciatic pain. It often presents aneurysmatic degeneration and aneurysm-related complications, like in the case hereby presented. There is no consensus on the best management, but most authors recommend surgical treatment, preserving the artery because in 40% of cases it is the main vessel of the limb. We had a patient who consulted with an aneurysm of the PCA and acute limb ischemia and who was treated as a combined successful endovascular and surgical approach.
Keywords : Sciatica artery; aneurysm; ischemia; artery obstruction; vascular grafting.