Diagnosis and management of the "difficult" abdominal aortic aneurysm: pararenal aneurysms, inflammatory aneurysms, and horseshoe kidney.
All "difficult" abdominal aortic aneurysms-whether pararenal or inflammatory or associated with abnormal renal parenchymal anatomy-often best are approached with some combination of retroperitoneal exposure and supraceliac clamping. Preoperative recognition that an unusual case may exist, complete and appropriate imaging and formulation of a sensible plan before operation are absolutely critical to success. Following such a plan can convert a relatively complex situation into a relatively simple one.
Illig
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Division of Vascular Surgery, University of Rochester Medical Center, 601 Elmwood Ave, Box 652, Rochester, NY 14642, USA.
Green
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D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D001025:Aortitis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D014057:Tomography, X-Ray Computed