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This is the author's final published version in the Journal of Vascular Surgery Cases, Innovations and Techniques, Volume 8, Issue 4, December 2022, Pg. 698 - 700.

The published version is available at Copyright © 2022 The Authors. Published by Elsevier Inc. on behalf of Society for Vascular Surgery.


Isolated external iliac vein aneurysm is exceedingly rare, not well-described in the literature, and presents several potential surgical approaches. Herein, we describe the case of a 72-year-old woman who presented with incidentally found 4.3 cm x 3.4 cm x 5.6 cm right external iliac vein aneurysm after undergoing magnetic resonance imaging for orthopedic work-up. She was treated via parallel supra- and infra-inguinal incisions and novel combination of primary aneurysmorrhaphy with intraluminal balloon mandrel-assisted closure. The patient was discharged on postoperative day two, and 6-month follow-up ultrasound showed a normal caliber vessel with normal compressibility, suggesting this technique is safe and effective for appropriately selected patients.

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