Hybrid repair of aortic aneurysm in a patient with a congenital pelvic kidney

We describe a patient with an asymptomatic infrarenal abdominal aortic aneurysm. Treatment decisions were complicated by the presence of a left congenital pelvic kidney supplied by two renal arteries originating from the proximal common iliac arteries bilaterally and respiratory status that was proh...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2025-04, Vol.11 (2), p.101708, Article 101708
Main Authors: Krzyzaniak, Halli, Wedel, Naomi, Fatehi Hassanabad, Ali, Cormack, Richard, Rommens, Kenton
Format: Article
Language:English
Subjects:
Aortic aneurysm
Ectopic kidney
Endovascular repair
Pelvic kidney
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Summary:We describe a patient with an asymptomatic infrarenal abdominal aortic aneurysm. Treatment decisions were complicated by the presence of a left congenital pelvic kidney supplied by two renal arteries originating from the proximal common iliac arteries bilaterally and respiratory status that was prohibitive to open repair. A hybrid surgical repair was performed with a bifurcated aortic endograft and parallel grafting to revascularize the pelvic renal arteries. This procedure was combined with a right common iliac endovascular occlusion and femoral-femoral bypass. This case adds to the limited reports of endovascular management of patients with concomitant aneurysmal disease and ectopic kidneys.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101708