Abstract
When a 76-year-old woman was taken to a hospital by ambulance, she had a fever, was feeling fatigued and in dyspnea. She has a previous history of old myocardial infarct, ischemic cardiomyopathy, mitral valve replacement, tricuspid annuloplasty, MAZE operation, severe pulmonary hypertension, chronic congestive cardiac failure, and congestive liver. She was also undergoing a treatment for miliary tuberculosis using domiciliary oxygen therapy. Her chronic cardiac failure got worse, and congestive liver and jaundice also got worse. Thoroughly examining her condition, we found that she had an approximately 6 cm saccular aneurysm in her left external iliac artery. From the fact that a previous CT examination a year before didn't detect any arterial aneurysm, we assumed her aneurysm was an infected external iliac artery aneurysm. She has been physically weakened and debilitated before the surgery. We first performed an extra-anatomic revascularization by bypassing the right external iliac artery to the left common femoral artery. And then, we performed a percutaneous arterial embolization with coils for the infected external iliac artery aneurysm. After the surgery, she recovered well and left the hospital. A year has passed now after the surgery, the left external iliac artery aneurysm remains occluded and no infection is seen. This surgery is one of the effective options for a patient who is physically weakened and debilitated with an infected iliac artery aneurysm.
