Surgical Repair of Abdominal Aortic Aneurysm in Patients with Simultaneous Urological Disorders: a Single Center Experience

Abstract

Introduction:Although rare, co-existence of abdominal aortic aneurysms with urological manifestations, suggests a challenging surgical entity in terms of successful aneurysmal repair along with minimally or null urological complications.Case reports:There are neither available data regarding the incidence of their co-existence nor consensus regarding optimal surgical management. Given the infrequency of their simultaneous presentation, the report of unusual cases as well as proposal for successful surgical management, are always useful and educative.Conclusion:Precise imaging pre-operatively and meticulous surgical technique intra-operatively are of utmost importance and suggest our vast allies in successful outcomes. Herein, we present our small case series of 3 interesting cases.

Surgical Considerations for the Management of an Ectopic Main Renal Artery Originating from an Abdominal Aortic Aneurysm

“…In conclusion, in cases of AAA with a clear indication for repair and an ectopic main renal artery arising from the aneurysmal sac, it is safe to consider special measures to protect the ipsilateral kidney from the anticipated in situ ischemia until the ectopic artery reconstruction and kidney reperfusion. Open surgical management is useful and thorough preoperative planning and intraoperative execution are mandated [ 19 ].…”

Horseshoe kidney: Morphologic features, embryologic and genetic etiologies, and surgical implications

“…In addition to preoperative planning with CT angiograms and urograms, aortography, ultrasonography, and pyelograms, modeling of renovascular anatomy with 3‐D printing has been reported to be beneficial in surgical planning (Armon et al, 1998; Hohenfellner et al, 1992; Houat et al, 2021; Mercader et al, 2019; Wymenga et al, 1995). Recommended preoperative evaluation for patients with HSK variants have not been standardized in large measure based on the rarity of these variants and the complex differences in their renal vasculature and anatomy (Kotsis & Dellis, 2018).…”