Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review

Abstract The absence or dysplasia of the iliac artery(IA) is an exceedingly rare condition, with limited cases documented in the literature. In this report, we present a case of hypoplasia of the right external iliac artery (EIA) in a 69-year-old male patient. The patient presented with right lower...

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Main Authors: Yu Xu, Jingbin Yuan, Chao Li
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03202-y
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author Yu Xu
Jingbin Yuan
Chao Li
author_facet Yu Xu
Jingbin Yuan
Chao Li
author_sort Yu Xu
collection DOAJ
description Abstract The absence or dysplasia of the iliac artery(IA) is an exceedingly rare condition, with limited cases documented in the literature. In this report, we present a case of hypoplasia of the right external iliac artery (EIA) in a 69-year-old male patient. The patient presented with right lower abdominal pain attributed to an aneurysm of the right internal iliac artery (IIA), yet notably, there was no evidence of lower limb ischemia at the time of consultation. Computed tomography angiography (CTA) of the aorta revealed a slender and occluded right EIA. Additionally, aneurysms were identified in the abdominal aorta (AA), the common iliac artery (CIA), and the right IIA, with collateral circulation involving the deep femoral artery and internal pathways. We performed aortoiliac aneurysm repair with a bifurcated synthetic graft on the patient’s AA and iliac artery (IA), successfully excising the abdominal aorta aneurysms (AAA) and the CIA aneurysm. Postoperatively, thrombosis of the internal iliac aneurysm was observed, and the patient experienced a resolution of pain symptoms in the right lower abdomen. This paper delineates the vascular variations and treatment strategies employed and provides a review of the existing literature on IA malformations.
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spelling doaj-art-a402bc5ad1274dfa94eeaebf64a2a5962025-01-05T12:45:44ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011710.1186/s13019-024-03202-yUnveiling the uncommon: hypoplasia of external iliac artery–a case report and literature reviewYu Xu0Jingbin Yuan1Chao Li2Department of Oncology, The Fourth Hospital of Hebei Medical UniversityDepartment of Chest Surgery, Hengzhou HospitalDepartment of Cardiovascular Surgery, The Fourth Hospital of Hebei Medical UniversityAbstract The absence or dysplasia of the iliac artery(IA) is an exceedingly rare condition, with limited cases documented in the literature. In this report, we present a case of hypoplasia of the right external iliac artery (EIA) in a 69-year-old male patient. The patient presented with right lower abdominal pain attributed to an aneurysm of the right internal iliac artery (IIA), yet notably, there was no evidence of lower limb ischemia at the time of consultation. Computed tomography angiography (CTA) of the aorta revealed a slender and occluded right EIA. Additionally, aneurysms were identified in the abdominal aorta (AA), the common iliac artery (CIA), and the right IIA, with collateral circulation involving the deep femoral artery and internal pathways. We performed aortoiliac aneurysm repair with a bifurcated synthetic graft on the patient’s AA and iliac artery (IA), successfully excising the abdominal aorta aneurysms (AAA) and the CIA aneurysm. Postoperatively, thrombosis of the internal iliac aneurysm was observed, and the patient experienced a resolution of pain symptoms in the right lower abdomen. This paper delineates the vascular variations and treatment strategies employed and provides a review of the existing literature on IA malformations.https://doi.org/10.1186/s13019-024-03202-yExternal iliac artery atresiaAneurysmObturator arteryCorona mortisArtificial vascular replacement
spellingShingle Yu Xu
Jingbin Yuan
Chao Li
Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
Journal of Cardiothoracic Surgery
External iliac artery atresia
Aneurysm
Obturator artery
Corona mortis
Artificial vascular replacement
title Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
title_full Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
title_fullStr Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
title_full_unstemmed Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
title_short Unveiling the uncommon: hypoplasia of external iliac artery–a case report and literature review
title_sort unveiling the uncommon hypoplasia of external iliac artery a case report and literature review
topic External iliac artery atresia
Aneurysm
Obturator artery
Corona mortis
Artificial vascular replacement
url https://doi.org/10.1186/s13019-024-03202-y
work_keys_str_mv AT yuxu unveilingtheuncommonhypoplasiaofexternaliliacarteryacasereportandliteraturereview
AT jingbinyuan unveilingtheuncommonhypoplasiaofexternaliliacarteryacasereportandliteraturereview
AT chaoli unveilingtheuncommonhypoplasiaofexternaliliacarteryacasereportandliteraturereview