Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492006000300014
Jornal Vascular Brasileiro
Case Report

Persistência da artéria isquiática: relato de caso

Persistent sciatic artery: a case report

Leonardo Ghizoni Bez; Ricardo Costa-Val; Paulo Bastianetto; Tatiana Ferreira de Oliveira; Carlos Eduardo Mourad Avelar; Denise Sena Veloso; Jovelino Pinheiro Costa; Fábio Sales de Oliveira

http://dx.doi.org/10.1590/S1677-54492006000300014 J Vasc Bras, vol.5, n3, p.233-236, 2006
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Resumo

A persistência da artéria isquiática é uma anomalia congênita rara do sistema circulatório, sendo descritos poucos casos na literatura e não existindo, assim, consenso sobre métodos diagnósticos e de tratamento. Os autores apresentam o caso de um paciente masculino, de 59 anos de idade, com história de dor tipo "claudicação intermitente" progressiva em panturrilha direita, associada a uma massa pulsátil em fossa poplítea e ausência de pulsos distais. A angiotomografia da aorta abdominal e dos membros inferiores revelou persistência da artéria isquiática à direita, sendo realizada, ainda, angiografia com subtração digital seletiva da artéria isquiática para o planejamento cirúrgico. O paciente foi submetido à ponte fêmoro-fibular com veia safena magna ipsolateral reversa e ligadura da artéria isquiática na pelve, por acesso retroperitoneal.

Palavras-chave

Persistência da artéria isquiática, aneurisma da artéria isquiática, terapêutica cirúrgica, isquemia periférica

Abstract

Persistent sciatic artery is a rare congenital anomaly of the circulatory system. Since there are few cases described in the literature, there is no consensus on diagnostic and treatment methods. The authors report on a 59-year-old male patient with history of progressive intermittent claudication in the right calf, associated with pulsatile mass in the popliteal fossa and absence of distal pulses. Tomography angiography of the abdominal aorta and lower limbs showed persistent right sciatic artery. Selective digital subtraction angiography of the sciatic artery was also performed for surgical planning. The patient was submitted to femorofibular bypass with reverse ipsilateral great saphenous vein and ligation of the sciatic artery in the pelvis using retroperitoneal approach.

Keywords

Persistent sciatic artery, sciatic artery aneurysm, surgical correction, peripheral ischemia

References

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