Hypogastric aneurysm is rare, often asymptomatic, but associated with high mortality if it ruptures. Given the deep location of the artery and proximity to critical anatomical structures (i.e. ureter, bladder,… Click to show full abstract
Hypogastric aneurysm is rare, often asymptomatic, but associated with high mortality if it ruptures. Given the deep location of the artery and proximity to critical anatomical structures (i.e. ureter, bladder, rectum), open surgical repair carries high morbidity and mortality compared to an endovascular approach. We report a simple hybrid approach to repair an enlarging isolated hypogastric aneurysm following a previous aortic aneurysm repair during which the origin of the hypogastric artery was ligated.
               
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