A Novel Approach to the Management of an Inflammatory Abdominal Aortic Aneurysm Associated With Crossed-Fused Renal Ectopia

Tadros, Rami O.; Malik, Rajesh; Ellozy, Sharif H.; Marin, Michael L.; Faries, Peter L.; Vouyouka, Ageliki G.

doi:10.1016/j.avsg.2011.05.016

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…[513][514][515] A hybrid approach has been described using a bifurcated Dacron graft based off the external iliac artery to revascularize the horseshoe kidney, followed by EVAR. 516,517 Likewise, repair has also been described using a fenestrated endograft and snorkel grafts. 518,519 Aortocaval fistula.…”

Section: Special Considerationsmentioning

confidence: 99%

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof

Dalman

Eskandari

et al. 2018

Journal of Vascular Surgery

1,982

1,478

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Important new recommendations are provided for the care of patients with an AAA, including suggestions to improve mutual decision-making between the treating physician and the patients and their families as well as a number of new strategies to enhance perioperative outcomes for patients undergoing elective and emergent repair. Areas of uncertainty are highlighted that would benefit from further investigation in addition to existing limitations in diagnostic tests, pharmacologic agents, intraoperative tools, and devices.

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Section: Special Considerationsmentioning

confidence: 99%

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof

Dalman

Eskandari

et al. 2018

Journal of Vascular Surgery

1,982

1,478

View full text Add to dashboard Cite

show abstract

“…A case with IAAA has been reported but it refers to CFRE. 7 Until now, a few cases have been reported referring to infrarenal aortic/iliac aneurysm and CPK or CFPK. A latest review included 28 patients.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

et al. 2022

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The coexistence of an abdominal aortic aneurysm and a congenital pelvic kidney is extremely rare. We present a 66-year-old male with an inflammatory aneurysm and an aberrant origin of the superior mesenteric artery. The inflammatory infrarenal abdominal aortic aneurysm with a congenital left pelvic kidney was successfully treated with endovascular repair. Coverage of one out of the two renal ectopic arteries was performed, without clinical evidence of renal function impairment.

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“…4 In the 2nd patient, a hybrid approach involved RA revascularization with open debranching surgery, followed by EVAR. 5 In the 3rd patient, preoperative ectopic RA coiling was performed 25 days before EVAR. 6 To our knowledge, ours is the first report of treating AAA and a crossed fused kidney by means of EVAR and the chimney technique to preserve the ectopic RA.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Abdominal Aortic Aneurysm Repair by Means of the Chimney Technique in a Patient with Crossed Fused Renal Ectopia

Kfoury¹,

Almanfi²,

Dougherty³

et al. 2016

Texas Heart Institute Journal

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Case ReportAn 88-year-old man with an expanding, asymptomatic infrarenal AAA was referred to our institution. A computed tomogram (CT) showed a 5-cm maximal diameter of the AAA (Fig. 1). The AAA had a 25-mm-long infrarenal neck that was 23 mm in diameter proximally and 25 mm distally. The patient had a crossed-over ectopic right kidney fused with the left kidney; the ectopic RA arose directly from the AAA and was 5.3 mm in diameter. The distal aortic neck was 25 mm in diameter, and the diameters of the common iliac arteries were 11 mm (left) and 9.7 mm (right).The patient's medical history included hypertension, type 2 diabetes mellitus, obstructive sleep apnea, and hyperlipidemia. He had also undergone multiple operations, including a transurethral prostatectomy, an exploratory laparotomy for trauma, and ventral hernia repair with use of mesh. His renal function was normal (serum creatinine level, 0.95 mg/dL; and estimated glomerular filtration rate, 75 mL/min). He was at high risk for surgery because of his comorbidities, hostile abdomen, and crossed fused ectopic kidney, so we recommended endovascular aneurysm repair (EVAR) of the AAA. We intended to preserve the ectopic RA by using the chimney technique, also called the parallel stent-grafting or snorkel technique.After we attained percutaneous access to both common femoral arteries by means of ultrasonographic guidance, we inserted 6F sheaths bilaterally. We introduced a 5F pigtail catheter into the abdominal aorta. An abdominal aortogram of the infrarenal AAA showed the ectopic right RA originating from the AAA (Fig. 2). We decided to perform EVAR with the parallel endograft oriented caudally, because the distance would be shorter and the angle less acute than if the graft were directed proximally. We then pre-closed the femoral arteries with use of a 10F Prostar ® XL vascular closure device (Abbott Vascular; Redwood City, Calif ). We inserted one 20F Gore ® DrySeal sheath (W.L. Gore & Associates, Inc.; Flagstaff, Ariz) for subsequent placement of the main endograft device through the left femoral artery, and another for snorkel and limb extension through the right femoral artery.We selectively cannulated the accessory RA with use of a 5F Renal Double Curve catheter (Cordis Corporation, a Johnson & Johnson company; Miami Lakes, Fla) and a 0.018-in Hi-Torque Steelcore Peripheral Guide Wire (Abbott Vascular). Selective

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A Novel Approach to the Management of an Inflammatory Abdominal Aortic Aneurysm Associated With Crossed-Fused Renal Ectopia

Cited by 9 publications

References 19 publications

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

Endovascular Abdominal Aortic Aneurysm Repair by Means of the Chimney Technique in a Patient with Crossed Fused Renal Ectopia

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