Treatment of persistent sciatic artery with limb length discrepancy
This case report describes the treatment of a five-year-old male with a persistent sciatic artery and significant limb-length discrepancy due to chronic ischemia. The patient presented with asymptomatic hypertension and was found to have left renal artery stenosis, and a Pillet-Gauffre Type 2a incom...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S277268782500025X |
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| Summary: | This case report describes the treatment of a five-year-old male with a persistent sciatic artery and significant limb-length discrepancy due to chronic ischemia. The patient presented with asymptomatic hypertension and was found to have left renal artery stenosis, and a Pillet-Gauffre Type 2a incomplete persistent sciatic artery. Surgical intervention involved an iliac-femoral bypass using a cadaveric superficial femoral artery to restore normal blood flow. Post-operative care included anticoagulation and aspirin therapy, with follow-up ultrasounds confirming patency. The report highlights the rarity of a persistent sciatic artery, its classification, and the importance of surgical management in pediatric cases to mitigate long-term morbidity associated with limb length discrepancy. Further research is needed on long-term outcomes of cadaveric arterial reconstructions in children. |
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| ISSN: | 2772-6878 |