持续性坐骨动脉(PSA)是一种罕见的先天性血管异常,由下肢胚胎性轴动脉畸形引起。本病例报告3例患者,年龄45-60岁,均为双侧PSA,表现为PSA并发症。包括动脉瘤变性,肢体缺血,血栓栓塞,或神经压迫引起的神经痛。它强调了诊断过程,管理策略,和在三级转诊医院观察到的临床结果。治疗涉及合作,血管外科医生的多学科方法,内科医生,和放射科医生根据患者个体的发现和疾病进展调整干预措施。本报告旨在在资源有限的环境中提供对PSA的各种演示和管理的见解,鼓励进一步的报告和案例研究,以提高对治疗结果的理解。
Persistent sciatic artery (PSA) is a rare congenital vascular anomaly resulting from embryologic axial artery malformation in the lower limb. This
case report presents three patients aged 45-60, each with bilateral PSA presenting with symptoms indicative of PSA complications, including aneurysmal degeneration, limb ischemia, thromboembolism, or neuralgia from nerve compression. It highlights the diagnostic process, management strategies, and clinical outcomes observed at a tertiary referral hospital. Treatment involved a collaborative, multidisciplinary approach with vascular surgeons, internists, and radiologists tailoring interventions to individual patient findings and disease progression. This report aims to provide insights into the diverse presentations and management of PSA in a resource limited setting, encouraging further reporting and
case studies to enhance understanding of therapeutic outcomes.