There is also retroperitoneal soft tissue infiltration (thick arrow) covering the posterolateral aorta (coated aorta appearance) which extends from just below level of renal arteries to aortic bifurcation and proximal right common iliac artery
To find compression points without collateral arteries, surgeons and investigators have determined that the common iliac artery
and its internal and external branches are a possible area.
The left common iliac artery
was blocked and there were two aneurysmal dilatations at the origin of the right common iliac artery
, although this vessel was patent.
Sentinel pelvic lymph node dissection preceded extended pelvic lymph node dissection including the area of the obturator fossa, external iliac artery/vein and internal iliac artery/vein up to the bifurcation of the common iliac artery
Also, other two arteries originated from the common iliac artery
, where one of them supplied the left kidney and the other one, the right one.
Named after the two physicians who first described it more than 50 years ago (Angiology 1957;8:419-27), the syndrome describes the small diameter of the left common iliac vein as typically resulting from compression by the right common iliac artery
Cooper attempted to put back the patient's occluded left common iliac artery
through angioplasty and stent placement.
A left axilla bifemoral bypass with ligation of the hepatic right common iliac artery
aneurysm, ligation of the infrarenal aorta, and ligation of the left common iliac artery
were performed by the vascular surgeon.
Two years prior to this, he had an infected right common iliac artery
aneurysm managed with polytetrafluoroethylene (PTFe) inlay grafting and antibiotics.
Surgical intervention demonstrated a white clot from aortic bifurcation down to the right common iliac artery
and the superficial and deep femoral arteries, surrounded by necrotic tissue and enlarged inguinal nodes.
An autopsy determined, however, that the actual cause of the patient's death was a relatively large ruptured right common iliac artery
aneurysm (abdominal aneurysm).
The first case was a 73 year-old patient with an AAA complicated by a narrowing of the left common iliac artery
, and the second case featured an anatomy that included a calcified stenosis of the aorta just above the aneurysm.
Intraoperative findings revealed two parallel rusted iron rods, first extending from the skin to just 10 cm proximal to right Common Iliac Artery
(CIA) causing a small mesenteric tear in the jejunum 80 cm distal to DJ flexure with minimal grazing of the seromuscular layer of the jejunum and second from skin through the retroperitoneum with its tip 30 cm from the bladder [Figure 2, 3, 4].
On 12 April, a vascular surgeon with Cardiothoracic and Vascular Surgeons became the first in the nation to implant the US-based medical device company Gore Medical's Gore Excluder Iliac Branch Endoprosthesis aortic branch device for the endovascular treatment of common iliac artery
aneurysms or aortoiliac aneurysms, the company said.