title: A branched, balloon-deployable, Aortomonoiliac stent-graft for treatment of AAA in a patient with a solitary intrapelvic kidney.
abstract: 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.
authors.affiliation: Departments of Interventional Radiology and Cardiovascular Surgery, University of Buenos Aires, Argentina.
authors.forename: Hernán G
authors.initials: HG
authors.lastname: Bertoni
authors.forename: Germán
authors.initials: G
authors.lastname: Girela
authors.forename: Miguel
authors.initials: M
authors.lastname: Peirano
authors.forename: Jorge H
authors.initials: JH
authors.lastname: Leguizamõn
authors.forename: Alejandro
authors.initials: A
authors.lastname: de la Vega
authors.forename: Hector D
authors.initials: HD
authors.lastname: Barone
authors.forename: Mark
authors.initials: M
authors.lastname: Nutley
authors.forename: Ze
authors.initials: Z
authors.lastname: Zhang
authors.forename: Yvan
authors.initials: Y
authors.lastname: Douville
authors.forename: Robert
authors.initials: R
authors.lastname: Guidoin
mesh_terms: 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