2018 Volume 27 Issue 3 Pages 251-254
An 84-year-old male visited a nearby clinic with chief complaints of bilateral lower limb edema. Ultrasonography revealed the right internal iliac artery aneurysm, and thus, the patient was referred to our hospital. Contrast-enhanced computed tomography showed a right isolated internal iliac artery aneurysm 40 mm in diameter and his external artery was chronic total occulusion. And additionally, collateral vessels developed from the right inferior gluteal artery to the right deep femoral artery. We performed endovascular aortic repair with only straight stent-graft and femoro-femoral bypass, successfully. The postoperative course was uneventful and he was discharged on the 10th day on the foot. The important issues in isolated internal iliac artery aneurysm repair are the method of surgical approach. Therefore, careful preoperative assessment should be undertaken for each case.
