title: Extra-anatomic endovascular repair of an abdominal aortic aneurysm with a horseshoe kidney supplied by the aneurysmal aorta.
abstract: Abdominal aortic aneurysm complicated by a horseshoe kidney (HSK, fused kidney) represents a unique challenge for repair. Renal arteries arising from the aneurysmal aorta can further complicate intervention. Reports exist describing the repair of these complex anatomies using fenestrated endografts, hybrid open repairs (debranching), and open aneurysmorrhaphy with preservation of renal circulation. We describe an extra-anatomic, fully endovascular repair of an abdominal aortic aneurysm with a HSK partially supplied by a renal artery arising from the aneurysm. We successfully applied aortouni-iliac endografting, femorofemoral bypass, and retrograde renal artery perfusion via the contralateral femoral artery to exclude the abdominal aortic aneurysm and preserve circulation to the HSK.
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address: JRey@med.miami.edu.
authors.forename: Jorge
authors.initials: J
authors.lastname: Rey
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Samuel
authors.initials: S
authors.lastname: Golpanian
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Jane K
authors.initials: JK
authors.lastname: Yang
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Enrique
authors.initials: E
authors.lastname: Moreno
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Omaida C
authors.initials: OC
authors.lastname: Velazquez
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Lee J
authors.initials: LJ
authors.lastname: Goldstein
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Veer
authors.initials: V
authors.lastname: Chahwala
mesh_terms: D000369:Aged, 80 and over; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D000069337:Fused Kidney / Q000150:complications*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed