| Surgical Treatment of Internal
Iliac Artery Aneurysms |
(First Department of Surgery, Showa University,
Tokyo, Japan)
| Kazuto Maruta |
Masaomi Fukuzumi |
Atsushi Bito |
| Yoshiharu Okada |
Yoshiaki Matsuo |
Masahiro Aiba |
| Makoto Yamada |
Toshihiro Takaba |
|
|
Between 1987 and 2002, 22 internal
iliac artery aneurysms in 14 patients were repaired. In 13 we
performed aneurysm excision or reconstruction. There were 3 cases
in which simple proximal ligation of the internal iliac artery
was performed; in 2 of these CT scans confirmed that the reduction
of the internal iliac artery aneurysms was not recognized, but
blood flow was not shown in the aneurysm. However, 6 years postoperatively
1 patient was confirmed with an expansion of the aneurysm, and
blood flow was seen on a CT scan. In the 2 latest patients, the
blood pressure of the internal iliac artery was measured before
and after proximal clamping of the internal iliac artery, but
the blood pressure of aneurysms could not be fully lowered by
proximal ligation of the internal iliac artery. Therefore, endoaneurysmorrhaphy
seemed to be the operative method of choice for treatment of
the internal iliac artery aneurysms.
Jpn. J. Cardiovasc. Surg. 33: 231-234 (2004) |
|
