An isolated aneurysm of the common iliac artery associated with an arterio-venous fistula: autotransfusion technique and postoperative hemodynamic monitoring ― A case report

Isolated aneurysms of the common iliac artery occur less frequently than abdominal aortic aneurysms. Moreover, the rupture of an isolated iliac aneurysm into a systemic vein is considered to be very rare. The case reported herein is of a patient with a left common iliac aneurysm which ruptured into...

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Bibliographic Details
Published in:Japanese journal of surgery 1988-09, Vol.18 (5), p.601-605
Main Authors: ODAGIRI, S, TOKUNAGA, H, ISHIKURA, Y, YOSHIMATSU, H
Format: Article
Language:English
Subjects:
Aneurysm - surgery
Arteriovenous Fistula - etiology
Arteriovenous Fistula - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Transfusion, Autologous
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Hemodynamics
Humans
Iliac Artery - surgery
Iliac Vein
Male
Medical sciences
Middle Aged
Monitoring, Physiologic
Postoperative Care
Rupture, Spontaneous
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Summary:Isolated aneurysms of the common iliac artery occur less frequently than abdominal aortic aneurysms. Moreover, the rupture of an isolated iliac aneurysm into a systemic vein is considered to be very rare. The case reported herein is of a patient with a left common iliac aneurysm which ruptured into the iliac vein, who was successfully treated surgically, using Doty's autotransfusion technique as a supportive measure. We describe our preoperative diagnosis, operative method, including the supportive measures, and the postoperative hemodynamic changes monitored by a Swan-Ganz catheter.
ISSN:0047-1909
1436-2813
DOI:10.1007/BF02471497