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Persistent sciatic artery (PSA) is an exceptionally rare embryological vascular anomaly with a reported incidence, based on angiographic series, of between 0.01 and 0.05%. We report a case of a patient with bilateral PSAs and a unilateral 12-cm aneurysm arising from the left PSA. As with our case, most PSAs are among the dominant arteries that supply blood to the lower limb with aneurysm formation occurring in up to 40% of cases. The femoral artery is often hypoplastic. Presentation usually includes symptoms and signs of an enlarged buttock mass, sciatic nerve compression, and distal limb ischemia. An interposition inlay graft is the preferred method of surgical repair. Dissection of the aneurysm is not recommended because of risk of damage to the sciatic artery. Endovascular stent placement is an accepted method of repair but does not deal with any local symptoms of the expanding aneurysm.
Department of Vascular Surgery, North Manchester General Hospital, Manchester, United Kingdom.
This article was published in the following journal.
Name: Annals of vascular surgery
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Sciatic nerve blocks are frequently used for anesthesia or analgesia for surgery of the lower legs. Currently, if ultrasound is used to find the sciatic nerve, the leg must be raised to l...
International registry gathering patients with angiographically confirmed coronary aneurysm.
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Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
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