title: [Thrombotic occlusion of the terminal aorta associated to a renal fusion and pelvic location ("pancake" kidney). First case report].
abstract: Coexistence of thrombotic occlusion of the terminal aorta with a "pancake" kidney is reported in 63-year old man, diagnosed by CT-scans and selective angiography, to assess the renal circulation and for surgical planning. Surgical exposure was transperitoneal and revascularization was accomplished through a bifurcation Dacron graft from the supraceliac aorta to both femorals, associated to the renal revascularization, by means of PTFE graft from the prosthesis to the renal artery. The success of procedure was later demonstrated by angio-RM, showing both grafts working in excellent condition. According to an extensive bibliographic review, this seems to be the first case reporting the association of a thrombotic occlusion of the terminal aorta to a "pancake" kidney, thus justifying its presentation and divulgation.
authors.affiliation: Clinica Universitária de Cirurgia Vascular do Hospital de Santa Maria, Lisboa.
authors.forename: Carlos
authors.initials: C
authors.lastname: Martins
authors.forename: Carlos
authors.initials: C
authors.lastname: Moura
authors.forename: Paulo
authors.initials: P
authors.lastname: Almeida
authors.forename: A
authors.initials: A
authors.lastname: Dinis da Gama
mesh_terms: D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000209:etiology*; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000209:etiology*