PMC3542308_01
Images of 46-year-old female patient with postpartum hemorrhage.. Flush aortography (A) showing aberrant ovarian artery arising from right common iliac artery (arrow). Selective angiography (B) showing that artery has sinuous course and is tortuous (arrows). This artery shows typical ovarian blush (arrow) and abundant collateral perfusion to markedly enlarged uterine fundus (open arrow) (C). Embolization of aberrant ovarian artery demonstrating occlusion of uterine branches of artery (D). Selective angiography of right uterine artery (E) and post-embolization state of this artery (F).
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At the beginning of the procedure, flush aortography (Fig. 1A) with a 5-Fr pigtail catheter (Cook, Bloomington, IN) positioned at the level of the celiac trunk showed a single aberrant artery arising from the right common iliac artery. Tokyo, Japan) revealed that it had a sinuous course and was tortuous (Fig. 1B). This artery showed the typical ovarian blush and abundant collateral perfusion to the markedly enlarged uterine fundus (Fig. 1C). The aberrant ovarian artery (Fig. 1D) and both uterine arteries (Fig. 1E, F) were embolized with 1 x 1 mm gelfoam pledgets (Johnson & Johnson, Skipton, UK) by using a 2.7-Fr microcatheter (Progreat , Terumo, Tokyo, Japan).