Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney tre...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2021-03, Vol.16 (1), p.26-26, Article 26
Main Authors: Centofanti, Guilherme, Nishinari, Kenji, De Fina, Bruna, Cavalcante, Rafael Noronha, Krutman, Mariana, Milner, Ross
Format: Article
Language:English
Subjects:
Aneurysms
Angiography
Aorta
Aortic aneurysms
Arteries
Cardiovascular system
Care and treatment
Case Report
Computed tomography
CT imaging
Genetic disorders
Iliac branch device
Isolated iliac artery aneurysm
Kidneys
Medical imaging
Pelvic kidney
Renal artery
Veins & arteries
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Summary:Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-021-01409-x