Deep venous thrombosis with pulmonary embolus after selective embolization of an internal iliac artery aneurysm

A 69-year-old man with an isolated right internal iliac artery aneurysm measuring 5.6 cm in diameter was treated with percutaneous embolization inducing thrombosis of the aneurysm. Four months later, he was seen with thrombosis of the right common iliac vein and pulmonary embolus. He subsequently un...

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Bibliographic Details
Published in:Journal of vascular surgery 1996, Vol.23 (1), p.152-155
Main Authors: Su, William T., Goldman, Kenneth A., Riles, Thomas S., Rosen, Robert
Format: Article
Language:English
Subjects:
Aged
Aneurysm - complications
Aneurysm - diagnostic imaging
Aneurysm - therapy
Biological and medical sciences
Diseases of the cardiovascular system
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - instrumentation
Humans
Iliac Artery - diagnostic imaging
Iliac Artery - surgery
Iliac Vein - diagnostic imaging
Iliac Vein - surgery
Male
Medical sciences
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
Pulmonary Embolism - surgery
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Thrombosis - diagnostic imaging
Thrombosis - etiology
Thrombosis - surgery
Time Factors
Tomography, X-Ray Computed
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Summary:A 69-year-old man with an isolated right internal iliac artery aneurysm measuring 5.6 cm in diameter was treated with percutaneous embolization inducing thrombosis of the aneurysm. Four months later, he was seen with thrombosis of the right common iliac vein and pulmonary embolus. He subsequently underwent ligation of the aneurysm and repair of the right common iliac artery. Computed tomographic and operative findings suggested that the iliac vein thrombosis was the results of direct compression by the aneurysm itself, as well as perianeurysmal inflammation that encased the right common iliac vein. This report summarizes this case and presents a new potential long-term complication after successful selective embolization of an internal iliac artery aneurysm.
ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(05)80046-1