Abdominal aortic aneurysm with ectopic renal artery origins: a case report.
The coexistense of an abdominal aortic aneurysm with ectopic main renal vasculature complicates aortic surgery and mandates a focused imaging evaluation and a carefully planned operation to minimize renal ischemia. We present the case of a 75-year-old man with an abdominal aortic aneurysm and a right kidney with two ectopic main renal arteries, one originating from the aneurysmal distal aorta and the other from the right common iliac artery; the patient underwent a surgical repair and followed an uneventful course with no deterioration of renal function. The preoperative and intraoperative details are reported, along with a review of the literature.
Kotsis
T
T
Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece. kotsisth@otenet.gr
Mylonas
S
S
Katsenis
K
K
Arapoglou
V
V
Dimakakos
P
P
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D050377:Cold Ischemia; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D007677:Kidney Function Tests; D008297:Male; D012077:Renal Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D012079:Renal Circulation; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome