Abdominal aortic aneurysm with ectopic renal artery origins: a case report

The coexistense of an abdominal aortic aneurysm with ectopic main renal vasculature complicates aortic surgery and mandates a focused imaging evaluation and a carefully planned operation to minimize renal ischemia. We present the case of a 75-year-old man with an abdominal aortic aneurysm and a righ...

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Bibliographic Details
Published inVascular and endovascular surgery Vol. 41; no. 5; p. 463
Main Authors Kotsis, T, Mylonas, S, Katsenis, K, Arapoglou, V, Dimakakos, P
Format Journal Article
LanguageEnglish
Published United States 01.10.2007
Subjects
Aged
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - physiopathology
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Cold Ischemia
Humans
Kidney Diseases - etiology
Kidney Diseases - physiopathology
Kidney Diseases - prevention & control
Kidney Function Tests
Male
Renal Artery - abnormalities
Renal Artery - diagnostic imaging
Renal Artery - surgery
Renal Circulation
Tomography, Spiral Computed
Treatment Outcome
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Summary:The coexistense of an abdominal aortic aneurysm with ectopic main renal vasculature complicates aortic surgery and mandates a focused imaging evaluation and a carefully planned operation to minimize renal ischemia. We present the case of a 75-year-old man with an abdominal aortic aneurysm and a right kidney with two ectopic main renal arteries, one originating from the aneurysmal distal aorta and the other from the right common iliac artery; the patient underwent a surgical repair and followed an uneventful course with no deterioration of renal function. The preoperative and intraoperative details are reported, along with a review of the literature.
ISSN:1538-5744
DOI:10.1177/1538574407303179