Abdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery

A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently u...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2017-01, Vol.51 (1), p.36-37
Main Authors: Rao, Ajit, Korayem, Adam, Tadros, Rami, Faries, Peter, Marin, Michael, Chander, Rajiv
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Computed Tomography Angiography
Endovascular Procedures - instrumentation
Female
Humans
Incidental Findings
Mesenteric Artery, Superior - abnormalities
Mesenteric Artery, Superior - diagnostic imaging
Middle Aged
Prosthesis Design
Renal Artery - abnormalities
Renal Artery - diagnostic imaging
Stents
Treatment Outcome
Citations: Items that this one cites
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Description
Summary:A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.
ISSN:1538-5744
1938-9116
DOI:10.1177/1538574416682174