A branched, balloon-deployable, Aortomonoiliac stent-graft for treatment of AAA in a patient with a solitary intrapelvic kidney.
OBJECTIVE
To report the use of a branched, balloon-deployable stent-graft to treat abdominal aortic aneurysm (AAA) in the setting of a solitary kidney.


METHODS
A 72-year-old man with a solitary intrapelvic kidney and multiple comorbid conditions was diagnosed with an asymptomatic 5.3-cm abdominal aortic aneurysm (AAA); the renal artery emerged from the aneurysm sac. A customized branched, balloon-deployable, aortomonoiliac stent-graft was utilized to exclude the AAA and preserve perfusion to the single renal artery. A synthetic bypass was then implanted to restore perfusion to the contralateral limb. The diameter of the aneurysm decreased from 5.3 to 2.7 cm at 18 months. The renal artery was patent without evidence of stenosis; renal function was normal.


CONCLUSIONS
The deployment of a novel branched stent-graft represents an interesting alternative approach to the treatment of a juxtarenal aneurysm.
Bertoni
Hernán G
HG
Departments of Interventional Radiology and Cardiovascular Surgery, University of Buenos Aires, Argentina.
Girela
Germán
G
Peirano
Miguel
M
Leguizamõn
Jorge H
JH
de la Vega
Alejandro
A
Barone
Hector D
HD
Nutley
Mark
M
Zhang
Ze
Z
Douville
Yvan
Y
Guidoin
Robert
R
D000368:Aged; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007083:Iliac Artery; D008297:Male; D009392:Nephrectomy; D011474:Prosthesis Design; D015607:Stents