Aortoiliac endarterectomy as a viable alternative for revascularization in a woman with isolated aortoiliac disease and an anomalous right pelvic kidney

Abstract

Although the use of aortoiliac endarterectomy to treat occlusive disease has declined since the advent of endovascular procedures and operative bypass grafting techniques, clinical scenarios still exist in which it can be useful. We present the case of a patient with right lower extremity pain at rest, an anomalous right pelvic kidney, right common iliac artery occlusion, and severe left common iliac artery stenosis. We have demonstrated that aortoiliac endarterectomy should not be considered an outdated surgical technique but a viable alternative for revascularization in a specific subset of patients.

Endovascular reconstruction of aortoiliac occlusive disease in a case with claudication and an ectopic pelvic kidney

“…Iliac artery endovascular reconstruction and stenting have been very popular, safe, and practical with acceptable long-term clinical outcomes. Nevertheless, in a recent report of a patient with an anomalous right pelvic kidney, right common iliac artery occlusion, and severe left common iliac artery stenosis for whom aortoiliac endarterectomy was conducted, Rushing et al described aortoiliac endarterectomy not an outdated surgical technique but a reasonable alternative for revascularization in specific group of patients such as high-grade, focal lesions of the aortoiliac vessels and in the young female with small vessels [ 14 ].…”