Bloodless Surgery for Rupture of Isolated Internal Iliac Artery Aneurysm

Blood-sparing surgical techniques and perioperative medical management allow for complex cardiovascular surgery for patients who refuse blood transfusion. We describe here successful surgical treatment of a ruptured isolated internal iliac artery aneurysm in a Jehovah’s Witness patient who was suffering from renal dysfunction, shock, and chronic heart failure and was not a candidate for endovascular therapy. The surgical procedure included ligation, endoaneurysmorrhaphy, and a prosthetic bypass and required meticulous hemostasis, so that blood transfusion was not required. (J Jpn Coll Angiol, 2010, 50: 203–207)