An Incidental Finding Of A Persistent Sciatic Artery – Case Report And Literature Review

Authors

  • Celso Nunes Trainee in Vascular Surgery Department, at Centro Hospitalar e Universitário de Coimbra, Portugal https://orcid.org/0000-0001-5928-3496
  • Juliana Sousa Vascular Surgeon, at Centro Hospitalar e Universitário de Coimbra, Portugal
  • João O'Neill Pedrosa Vascular and Cardiothoracic Theather Nurse, at Hospital da Luz, Lisboa, Portugal
  • Vânia Oliveira Trainee in Vascular Surgery Department, at Centro Hospitalar e Universitário de Coimbra, Portugal
  • Eduardo Silva Trainee in Vascular Surgery Department, at Centro Hospitalar e Universitário de Coimbra, Portugal
  • Leonor Baldaia Trainee in Vascular Surgery Department, at Centro Hospitalar e Universitário de Coimbra, Portugal https://orcid.org/0000-0001-9979-8646
  • Miguel Silva Trainee in Vascular Surgery Department, at Centro Hospitalar e Universitário de Coimbra, Portugal
  • Luís Antunes Vascular Surgeon, at Centro Hospitalar e Universitário de Coimbra, Portugal https://orcid.org/0000-0001-6237-7354

DOI:

https://doi.org/10.48729/pjctvs.370

Keywords:

Persistant sciatic artery, sciatic artery aneurysm, vascular embryological development, acute ischemia

Abstract

Persistent sciatic artery is a rare anatomic variation due to the lack of regression during fetal development, associated sometimes with abnormalities of the iliofemoral arterial axis and predisposing the patients to aneurysm formation and thromboembolism, which can compromise the limb. In our department, we assisted a 59-year-old male with an acute limb ischemia as result of an incidental finding of a thrombosed persistent sciatic artery aneurysm.

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References

Green PH. On a new variety of the femoral artery: with observations. Lancet 1832;1:730e1.

Papon X, Picquet J, Fournier HD, Enon B, Mercier P. Persistent sciatic artery: report of an original aneurysm-associated case. Surg Radiol Anat 1999;21(2):151e3.

Senior HD. The development of the human femoral artery, a correction. Anat Rec 1920;17:271.

Donovan DL, Sharp WV. Persistent sciatic artery: two case reports with emphasis on embryologic development. Surgery. 1984 Mar;95(3):363-6.

Van Hooft I.M., Zeebergts C.J., Van Sterkenburg S.M.M., de vries W.R., J Reijnen M.M.P. The persistent sciatic artery. Eur J Vasc Endovasc Surg. 2009;37(5):585–591.

SreeKumar K.P., Prabhu N.K., Moorthy S. Bilateral persistent sciatic artery: demonstration of the anomaly and its complications with intra arterial contrast enhanced spiral CT. Indian J Radiol Imaging. 2004;14:205–207.

Arey LB. Developmental anatomy. 6th edn. Philadelphia: WB Saunders Co; 1954. p. 342e59.

Pillet J, Albaret P, Toulemonde JL, Cronier P, Raimbeau G, Chevalier JM. Ischio-popliteal artery trunk, persistence of the axial artery. Bull Assoc Anat (Nancy) 1980;64:97e110.

Gauffre S, Lasjaunias P, Zerah M. Sciatic artery: a case, review of literature and attempt of systemization. Surg Radiol Anat 1994;16:105e9.

Ahn S, Min SK, Min SI, Ha J, Jung IM, Kim SJ, Park HS, Lee T. Treatment Strategy for Persistent Sciatic Artery and Novel Classification Reflecting Anatomic Status. Eur J Vasc Endovasc Surg. 2016 Sep;52(3):360-9. doi: 10.1016/j.ejvs.2016.05.007. Epub 2016 Jun 29.

Charisis N., Giannopoulos S., Tzavellas G., Tassiopoulos A., Koullias G. Endovascular treatment of persistent sciatic artery aneurysms with primary stenting: a systematic review of the literature. Vasc Endovascular Surg. 2020;54:264–271

van Hooft IM, Zeebregts CJ, van Sterkenburg SM, de Vries WR, Reijnen MM. The persistent sciatic artery. Eur J Vasc Endovasc Surg. 2009 May;37(5):585-91. doi: 10.1016/j.ejvs.2009.01.014. Epub 2009 Feb 20.

Mousa A, Rapp Parker A, Emmett MK, AbuRahma A. Endovascular treatment of symptomatic persistent sciatic artery aneurysm: a case report and review of literature. Vasc Endovascular Surg. 2010 May;44(4):312-4

Paraskevas G., Papaziogas B., Gigis J., Mylonas A., Gigis P. The persistence of the sciatic artery. Folia Morphol. 2004;63:515–518

Brancaccio G, Falco E, Pera M, Celoria G, Stefanini T, Puccianti F. Symptomatic persistent sciatic artery. J Am Coll Surg 2004;198(1):158

Meghpara MK, Alaoudi M, Mutyala M. Persistent sciatic artery in a patient with unilateral acute lower extremity ischemia. J Vasc Surg Cases Innov Tech. 2020 Nov 10;7(1):89-92. doi: 10.1016/j.jvscit.2020.08.034

Choi YK, Ahn JH, Kim KC, Won TH. Treatment of complete persistent sciatic artery with distal thromboembolism by thromboembolectomy only. Korean J Thorac Cardiovasc Surg. 2012 Oct;45(5):342-4.

Charisis N, Giannopoulos S, Tzavellas G, Tassiopoulos A, Koullias G. Endovascular Treatment of Persistent Sciatic Artery Aneurysms With Primary Stenting: A Systematic Review of the Literature. Vascular and Endovascular Surgery. 2020;54(3):264-271

Omer A, Alkadumi M, Jupalli S, Dobtsis J. Persistent sciatic artery an incidental finding. Radiol Case Rep. 2021 May 3;16(7):1745-1748. doi: 10.1016/j.radcr.2021.03.057.

Wijeyaratne SM, Wijewardene N. Endovascular stenting of a persistent sciatic artery aneurysm via retrograde popliteal approach: a durable option. Eur J Vasc Endovasc Surg 2009;38:91e2.

Gabelmann A, Kramer SC, Wisianowski C, Tomczak R, Pamler R, Gorich J. Endovascular interventions on persistent sciatic arteries. J Endovasc Ther 2001;8:622e8.

Modugno P, Amatuzio M, De Filippo CM, Centritto EM, Pierro A, Inglese L. Endovascular treatment of persistent sciatic artery aneurysm with the multilayer stent. J Endovasc Ther 2014;21:410e3.

Shibutani S, Hayashi E, Obara H, Narimatsu Y, Sato H, Ono S, et al. Rapid development of aneurysmal formation after successful endovascular treatment of chronic total occlusion of a persistent sciatic artery. Ann Vasc Surg 2013;27:499.e5e8

de Boer MT, Evans JD, Mayor P, Guy AJ. An aneurysm at the back of a thigh: a rare presentation of a congenitally persistent sciatic artery. Eur J Vasc Endovasc Surg 2000;19:99e100.

Wright, F. W. (1964). Persistent axial or sciatic artery of the lower limb in association with hemihypertrophy. Clin Radiol, 15, 291-292.

Kurtoğlu, Z., & Uluutku, H. (2001). Persistent sciatic vessels associated with an arteriovenous malformation. Journal of Anatomy, 199(Pt 3), 349-351.

Sekiya, S., Horigichi, M., Komatsu, H., Kowada, S., Yokoyama, S., Yoshida, K., et al. (1997). Persistent primitive sciatic artery associated with other various anomalies of vessels. Acta Anatomica, 158(2), 143-149.

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Published

11-10-2023

How to Cite

1.
Nunes C, Sousa J, O’Neill Pedrosa J, Oliveira V, Silva E, Baldaia L, Silva M, Antunes L. An Incidental Finding Of A Persistent Sciatic Artery – Case Report And Literature Review. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Oct. 11 [cited 2024 May 22];30(3):67-70. Available from: https://pjctvs.com/index.php/journal/article/view/370

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