Abdominal aortic aneurysm and congenital pelvic kidney. A rare association.
We report the case of a 65-year-old man who presented with an infrarenal aortic aneurysm in association with a congenital right pelvic kidney vascularized by 2 aortic arteries, 1 of which arose from the aneurysmal aorta and the other from the common right iliac artery. Successful surgery consisted of excising the aneurysmal aortic segment and replacing it with a Dacron tube graft, then implanting the upper renal artery (supplemented by a short segment of saphenous venous graft) in the Dacron prosthesis. We review 6 other cases of this rare pathologic association, found in our search of the literature, and discuss techniques of renal protection and (when necessary) reimplantation of the anomalous arteries.
Glock
Y
Y
Department of Cardiovascular Surgery, Rangueil University Hospital, Toulouse, France.
Blasevich
R
R
Laghzaoui
A
A
Roux
D
D
Fournial
G
G
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000098:blood supply; D008297:Male; D012077:Renal Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography