Endovascular treatment of an isolated iliac artery aneurysm associated with segmental arterial mediolysis.

Andersen, James C; Mannoia, Kristyn; Patel, Sheela T

Andersen, James C; Mannoia, Kristyn; Patel, Sheela T.

Afiliación

Andersen JC; Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CA.
Mannoia K; Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CA.
Patel ST; Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CA.

J Vasc Surg Cases Innov Tech ; 9(3): 101224, 2023 Sep.

Article en En | MEDLINE | ID: mdl-37799842

RESUMEN

Segmental arterial mediolysis is a noninflammatory nonatherosclerotic vasculopathy of uncertain etiology characterized by dissection and/or aneurysm formation. It affects medium-to-large arteries, primarily the celiac, superior mesenteric, and renal arteries. Iliac involvement is rare, and its specific treatment has not been described. We detail a patient who presented with intrabdominal hemorrhage from a ruptured right colic artery aneurysm. He underwent transcatheter arterial embolization followed by right hemicolectomy. Histopathology confirmed the diagnosis of segmental arterial mediolysis. Endovascular treatment of a 3-cm iliac artery aneurysm was performed 18 months later. There was successful exclusion of the aneurysm demonstrated on computed tomography angiography at 10 years.

Palabras clave

Iliac artery aneurysm; Right colic artery aneurysm; Segmental arterial mediolysis

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: J Vasc Surg Cases Innov Tech Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos

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