PMC6201630_01
Femoral angiogram: blue arrow = internal iliac artery, red arrow = external iliac artery, green arrow = lateral sacral artery
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Femoral angiography revealed a fusiform 12 x 8cm aneurysm of the superior gluteal artery (SGA) with a wide neck which would prove difficult to embolize with the available coils (Figure 1, Figure 2).
Red arrows = superior gluteal aneurysm, blue arrow: proximal neck, green arrow = distal neck, white arrow = angio catheter
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Femoral angiography revealed a fusiform 12 x 8cm aneurysm of the superior gluteal artery (SGA) with a wide neck which would prove difficult to embolize with the available coils (Figure 1, Figure 2).
Mobilization of the aneurysm via the gluteal incision; black arrow = aneurysm
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Artery was obtained via an extraperitoneal groin incision before a gluteal incision was made to mobilize the gluteus maximus muscle. A true fusiform 12 x 8cm SGA aneurysm was found under the muscle which was firmly adherent to and stretching the sciatic nerve (Figure 3, Figure 4).
Green arrow showing fully mobilized aneurysm
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Artery was obtained via an extraperitoneal groin incision before a gluteal incision was made to mobilize the gluteus maximus muscle. A true fusiform 12 x 8cm SGA aneurysm was found under the muscle which was firmly adherent to and stretching the sciatic nerve (Figure 3, Figure 4).
Incision of the aneurysm and evacuation of thrombus
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It contained a huge thrombus (Figure 5).
Incision being closed
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The wound was closed in layers (Figure 6).