Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm

Andrew Yang, Ammar Hashmi, Anton Androsov, Gregory Salzler, Evan Ryer

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction: Persistent sciatic artery (PSA) is a rare embryological vascular anomaly with a prevalence between 0.025–0.06%. PSA is frequently associated with aneurysmal degeneration and can result in neuropathy, thrombosis, or rupture, threatening limb and life. Case presentation: We present a case of a 72-year-old man with an incidental finding of a right sided 4 cm PSA aneurysm with limited symptoms. The aneurysm was treated successfully with endovascular exclusion and a femoral-popliteal bypass was performed to revascularize the leg. Discussion: Treatment of PSA aneurysms involve excluding the aneurysm and revascularizing the involved leg. Improvements in endovascular embolization techniques now offer new solutions in the management of these aneurysms. Conclusion: A high degree of clinical suspicion is required to properly diagnose and treat PSA aneurysms. Referral to a center with expertise in both open and endovascular techniques is vital to ensure good outcomes.

Original languageEnglish (US)
Pages (from-to)787-790
Number of pages4
JournalInternational Journal of Surgery Case Reports
StatePublished - Jan 2020
Externally publishedYes


  • Aneurysm
  • Bypass
  • Endovascular
  • Hybrid
  • Persistent sciatic artery

ASJC Scopus subject areas

  • Surgery


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