Giant isolated iliac artery aneurysm with ipsilateral hydronephrosis treated with aneurysm resection and extra-anatomic bypass

Vikas Deep Goyal; Kapil Ramesh Chakarvarti; Rehan Fareed; Gaurav Misra; Neeraj Prajapati; Akhilesh Pahare

doi:10.1007/s12055-021-01283-1

Giant isolated iliac artery aneurysm with ipsilateral hydronephrosis treated with aneurysm resection and extra-anatomic bypass

Indian J Thorac Cardiovasc Surg. 2022 Mar;38(2):195-198. doi: 10.1007/s12055-021-01283-1. Epub 2021 Nov 23.

Authors

Vikas Deep Goyal¹, Kapil Ramesh Chakarvarti¹, Rehan Fareed¹, Gaurav Misra², Neeraj Prajapati³, Akhilesh Pahare²

Affiliations

¹ Department of Surgery, Shri Ram Murti Samarak Institute of Medical Sciences, Bareilly, UP 243202 India.
² Department of Anesthesia, Shri Ram Murti Samarak Institute of Medical Sciences, Bareilly, UP 243202 India.
³ Department of Radiodiagnosis, Shri Ram Murti Samarak Institute of Medical Sciences, Bareilly, UP 243202 India.

Abstract

Isolated iliac artery aneurysms are rare and very rarely it may lead to hydronephrosis. The majority of uncomplicated iliac artery aneurysms can be managed with endovascular interventions but large complicated iliac artery aneurysms with compression on adjacent structures may require open surgery. We share our experience of a case of a large isolated iliac artery aneurysm with compression of the ureter probably leading to ureteric calculi and hydronephrosis on the ipsilateral side. The patient was managed with aneurysm resection and extra-anatomic bypass.

Keywords: Extra-anatomic bypass; Hydronephrosis; Isolated iliac artery aneurysm; Ureteric compression.

Publication types

Case Reports