A case report of congenital atresia of the right external iliac artery associated with congenital cardiac defect.  Case Study (Faculty180)

cited authors

  • Osman, Mohamed Fikri Mohamed; Nazzal, Munier M; Ezzone, Austin; Al-Embideen, Somya

description

  • <span><a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/congenital-malformation" title="Learn more about Congenital malformations from ScienceDirect's AI-generated Topic Pages">Congenital malformations</a> of the external <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iliac-artery" title="Learn more about iliac arteries from ScienceDirect's AI-generated Topic Pages">iliac arteries</a> are rare and have been reported few times in the literature. Some of these cases have been associated with other organ anomalies, and to our knowledge only one reported case was associated with a </span><a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/congenital-heart-defect" title="Learn more about congenital heart defect from ScienceDirect's AI-generated Topic Pages">congenital heart defect</a><span>. Here we present a case of a <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/patient" title="Learn more about patient from ScienceDirect's AI-generated Topic Pages">patient</a> with a congenital heart defect, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tetralogy-of-fallot" title="Learn more about Tetralogy of Fallot from ScienceDirect's AI-generated Topic Pages">Tetralogy of Fallot</a>, and malformation of an external iliac artery. A 38-year-old woman with a <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/medical-history" title="Learn more about past medical history from ScienceDirect's AI-generated Topic Pages">past medical history</a> of Tetralogy of Fallot, severe levoscoliosis, unspecified <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/autonomic-dysfunction" title="Learn more about autonomic dysfunction from ScienceDirect's AI-generated Topic Pages">autonomic dysfunction</a> and no smoking history presented with complaints of worsening right lower extremity effort induced pain for the past year. On exam, her right lower leg circumference was noticeably smaller than the left, measuring 29 cm and 31 cm, respectively. Pulses were palpable in the left leg, but no femoral pulses were palpable in the right. <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/computed-tomography-angiography" title="Learn more about Computed tomographic angiography from ScienceDirect's AI-generated Topic Pages">Computed tomographic angiography</a> (CTA) showed absence of the  right external iliac artery (EIA) with reconstitution via iliolumbar collaterals into the right common <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/femoral-artery" title="Learn more about femoral artery from ScienceDirect's AI-generated Topic Pages">femoral artery</a> (CFA) which was of normal caliber. At surgery it was revealed that the right EIA was atretic and remained as a cord-like-structure with no patency.</span>

authors

publication date

  • 2023

publisher

start page

  • 3(1), 100163