Aorto-iliac aneurysm associated with congenital pelvic kidney: A short series of successful open repairs under hypothermic selective renal perfusion

Marone, Enrico Maria; Tshomba, Yamume; Brioschi, Chiara; Calliari, Fabio Massimo; Chiesa, Roberto

doi:10.1016/j.jvs.2007.09.017

Cited by 22 publications

(21 citation statements)

References 21 publications

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“…They drain in the IVC and in ipsilateral common iliac vein (Fig. B) (Marone et al, 2008;Sebe et al, 2004). The single pelvic kidney represents failure of ascend of the existing normal kidney beyond the true pelvis in combination with a congenital absence of the contralateral kidney (Morales & Greenberg 2005).…”

Section: Congenital Pelvic Kidneymentioning

confidence: 99%

“…It is possible that preoperatively hypertensive patients had postoperative captopril-renogram and serum creatinine levels returned to normal and were discharged without blood pressure medication (Hanif et al, 2005, Marone et al, 2008. In crossed renal ectopia retrograde pyelography may provide further information about the path of ureters.…”

Section: Genitourinary Anomaliesmentioning

confidence: 99%

“…Different mechanisms may plausibly be involved in renal function impairment, mainly related to malperfusion of congenital pelvic kidney such as aneurysm distal embolization, kinking of the renal artery, hemodynamic effects of abnormal pulsatility, and in the case of large lesions, due to depression of the renal parenchyma, renal veins, and the ureter and/or ureteropelvic junction. (Marone et al, 2008) Renal function is more susceptible to ischemia in patients undergoing elective AAA repair who have transplanted kidneys than in patients with ectopic congenital pelvic kidneys. Except for patients with congenital solitary pelvic kidney, good results with congenital pelvic kidney should be expected as these patients had a normal kidney above the AAA that was not at risk of ischemic injury.…”

Section: Congenital Pelvic Kidneymentioning

confidence: 99%

“…Topical cooling kidney packing with ice slush is a complementary action in these cases. (Marone et al, 2008). 3.…”

Section: Congenital Pelvic Kidneymentioning

confidence: 99%

See 3 more Smart Citations

The Importance of Venous and Renal Anomalies for Surgical Repair of Abdominal Aortic Aneurysms

Jimenez¹,

Morant²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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Section: Congenital Pelvic Kidneymentioning

confidence: 99%

Section: Genitourinary Anomaliesmentioning

confidence: 99%

Section: Congenital Pelvic Kidneymentioning

confidence: 99%

“…Topical cooling kidney packing with ice slush is a complementary action in these cases. (Marone et al, 2008). 3.…”

Section: Congenital Pelvic Kidneymentioning

confidence: 99%

See 2 more Smart Citations

The Importance of Venous and Renal Anomalies for Surgical Repair of Abdominal Aortic Aneurysms

Jimenez¹,

Morant²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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“…1) To the best of our knowledge, there are no reports in literature about such cases presenting with concomitant uncontrolled renovascular hypertension. Surgical repair is the only curative option for AAA with congenital solitary pelvic kidney.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Abdominal Aortic Aneurysm with Congenital Solitary Pelvic Kidney and Superior Mesenteric Artery Stenosis

Saito

Tanaka

Yamamoto

et al. 2016

Annals of Vascular Diseases

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We report the rare case of a 54-year-old man with uncontrolled renovascular hypertension, who was found to have an abdominal aortic aneurysm with congenital solitary pelvic kidney and superior mesenteric artery stenosis. A single renal artery branched from aneurysmal aortic bifurcation, and both the renal artery and the superior mesenteric artery (SMA) had severe stenosis at their origins. The aneurysm was repaired with a bifurcated Dacron graft, to which the renal artery was anastomosed. SMA bypass was created between the graft's left limb and the SMA using another Dacron graft. The operation was successful, with improvement in renal functions and control of hypertension. Keywords: abdominal aortic aneurysm, congenital solitary pelvic kidney, renovascular hypertension Case ReportA 54-year-old man was referred to our hospital with the diagnosis of AAA, and he presented with renovascular hypertension, renal anemia, and impaired renal function. He was 170 cm tall and weighed 54 kg. His hypertension was uncontrolled despite receiving daily doxazosin (alpha blocker) 4 mg, and nifedipine 80 mg. He has been a tobacco smoker for more than 40 years (20 cigarettes a day). He had no surgical history. Preoperative multidetector computed tomography (MDCT) scan showed a fusiform AAA with a maximum diameter of 45 mm, and a functioning congenital solitary pelvic kidney (Fig. 1A). A single renal artery branched from the aneurysmal aortic bifurcation, which showed 90% stenosis at its origin (Fig. 1B). The renal vein drained directly into the inferior vena cava. With regard to preoperative kidney function, serum creatinine level was 2.65 mg/dl, creatinine clearance rate was 30 ml/min, technetium-99m-mercaptoacetylglycylglycylglycine ( 99m Tc-MAG) clearance rate was 52.8 ml/min, hemoglobin level was 11.5 g/dl, and serum renin level was 6.6 ng/ml/hr. Additionally, the superior mesenteric artery (SMA) showed 70% stenosis at its origin, but without abdominal symptoms (Fig. 1A).Open repair of AAA was performed. In the abdominal cavity, there were no anomalies other than the solitary pelvic kidney. During aortic clamping, renal flow was maintained with a temporary bypass between the right brachial and renal arteries by using Brewster's method ( Fig. 2A). 2)

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Kidney, Urinary Bladder, and Ureter

Ardalan

2016

Bergman's Comprehensive Encyclopedia of Human Anatomic Variation

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Aorto-iliac aneurysm associated with congenital pelvic kidney: A short series of successful open repairs under hypothermic selective renal perfusion

Cited by 22 publications

References 21 publications

The Importance of Venous and Renal Anomalies for Surgical Repair of Abdominal Aortic Aneurysms

The Importance of Venous and Renal Anomalies for Surgical Repair of Abdominal Aortic Aneurysms

Surgical Treatment of Abdominal Aortic Aneurysm with Congenital Solitary Pelvic Kidney and Superior Mesenteric Artery Stenosis

Kidney, Urinary Bladder, and Ureter

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