title: Abdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery.
abstract: A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Ajit
authors.initials: A
authors.lastname: Rao
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Korayem
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Rami
authors.initials: R
authors.lastname: Tadros
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Faries
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Marin
authors.affiliation: 1 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Chander
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D033162:Incidental Findings; D017538:Mesenteric Artery, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011474:Prosthesis Design; D012077:Renal Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D015607:Stents; D016896:Treatment Outcome
keywords: EVAR; aortic aneurysm; renal artery; renal artery variation