Abdominal aortic aneurysm and bilateral pelvic kidneys

A 61-year-old man presented with a 5.8-cm abdominal aortic aneurysm with bilateral pelvic kidneys incidentally discovered by computed tomography angiography. Given the complex anatomy, an open approach was favored over an endovascular approach to address the aneurysm and preserve renal function. Ren...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023-06, Vol.9 (2), p.101178, Article 101178
Main Authors: Sebastian, Albertina, Almadani, Mahmoud, Pu, Qinghua, Shiferson, Alexander, Rhee, Robert Y.
Format: Article
Language:English
Subjects:
Abdominal aorta
Aortic aneurysm
Case report
Pelvic kidneys
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Summary:A 61-year-old man presented with a 5.8-cm abdominal aortic aneurysm with bilateral pelvic kidneys incidentally discovered by computed tomography angiography. Given the complex anatomy, an open approach was favored over an endovascular approach to address the aneurysm and preserve renal function. Renal perfusion was achieved with a short clamp time of 29 minutes and intermittent boluses of cold renal perfusion solution delivered into each renal artery via a Fogarty infusion catheter. We describe a rare case of bilateral ectopic kidneys in the setting of open abdominal aortic aneurysm repair using the described technique.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101178