Bilateral persistent sciatic artery with aneurysm formation and review of the literature

Shiayin Yang; Kevin Ranum; Michael Malone; Munier Nazzal

doi:10.1016/j.avsg.2013.03.015

Bilateral persistent sciatic artery with aneurysm formation and review of the literature

Ann Vasc Surg. 2014 Jan;28(1):264.e1-7. doi: 10.1016/j.avsg.2013.03.015. Epub 2013 Nov 5.

Authors

Shiayin Yang¹, Kevin Ranum¹, Michael Malone², Munier Nazzal³

Affiliations

¹ Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH.
² Department of Surgery, Blanchard Valley Hospital, Findlay, OH.
³ Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH. Electronic address: munier.nazzal@utoledo.edu.

PMID: 24200147
DOI: 10.1016/j.avsg.2013.03.015

Abstract

Persistent sciatic artery (PSA) is an uncommon medical condition that can result in limb loss if it is not recognized or corrected. It is associated with 14% limb loss and 86% formation of aneurysm of the sciatic artery. In this study we describe a patient with bilateral persistent sciatic arteries associated with multiple aneurysms who presented with a large aneurysm formation and limb ischemia. The patient was treated with PSA embolization and exclusion of the aneurysm in the right leg with vein bypass. All reported cases in the English literature between 1965 and 2012 were reviewed and management options were compared.

Publication types

Case Reports
Review

MeSH terms

Aged
Aneurysm / diagnosis
Aneurysm / etiology*
Aneurysm / therapy
Arteries / abnormalities
Buttocks / blood supply*
Embolization, Therapeutic
Humans
Ischemia / diagnosis
Ischemia / etiology*
Ischemia / therapy
Male
Saphenous Vein / transplantation
Tomography, X-Ray Computed
Treatment Outcome
Vascular Malformations / complications*
Vascular Malformations / diagnosis
Vascular Malformations / therapy