Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm Rudolf.

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Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm Rudolf Feer, MD, Peter Stierli, MD, Claude Haller, MD, Giovanni Cito, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 3, Pages 139-141 (September 2017) DOI: 10.1016/j.jvscit.2017.04.002 Copyright © 2017 The Authors Terms and Conditions

Fig 1 Preoperative lateral computed tomography angiography reconstructed three-dimensional view of the perfused sciatic artery aneurysm of the left side. In the foreground, anterior, note the left femoral artery bifurcation with its outgoing hypoplastic superficial femoral artery in comparison to the normal-caliber contralateral one in the background. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 139-141DOI: (10.1016/j.jvscit.2017.04.002) Copyright © 2017 The Authors Terms and Conditions

Fig 2 Surgical access, as seen with the patient in prone position 19 months postoperatively, of the left buttock into the dorsal aspect of the thigh for exposing the aneurysm and skeletonizing the sciatic artery. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 139-141DOI: (10.1016/j.jvscit.2017.04.002) Copyright © 2017 The Authors Terms and Conditions

Fig 3 Early postoperative computed tomography angiography reconstruction three-dimensional view of the whole arterial tree from the pelvis to the foot. Note the perfused internal iliac artery, with the exception of the thrombosed inferior gluteal artery (poorly illustrated because of image processing); the physiologic course of the transposed segment of the persistent sciatic artery (PSA) with its enlargement at the proximal anastomosis by the Taylor patch; the hypoplastic, incompletely tapered superficial femoral artery; the enlargement of the calf trifurcation by a venous patch; and an incomplete distal runoff due to the previous embolizations caused by the aneurysm. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 139-141DOI: (10.1016/j.jvscit.2017.04.002) Copyright © 2017 The Authors Terms and Conditions