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[Bilateral aneurysm of the common iliac artery and kidney pelvic ectopia: endovascular treatment]
V Lopez Trapero1, A Martinez Muñiz, S Fernandez de Castillejo
1Service de Chirurgie Vasculaire, Hôpital Modelo, La Coruña, Espagne.
Insights
A 65-year-old man with chronic lower limb ischemia underwent successful treatment for bilateral common iliac artery aneurysms. The procedure utilized percutaneous stent grafts, addressing a rare vascular anomaly associated with a congenital pelvic kidney.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Nephrology
Background:
- Chronic ischemia of lower limbs can be caused by various vascular pathologies.
- Iliac artery aneurysms are a significant risk factor for limb ischemia.
- Congenital anomalies, such as pelvic kidney, can present complex vascular challenges.
Observation:
- A 65-year-old male presented with symptoms of chronic lower limb ischemia.
- Angiography revealed bilateral common iliac artery aneurysms.
- A left congenital pelvic kidney with anomalous vascular supply from the inferior mesenteric artery was noted.
Findings:
- The patient had bilateral common iliac artery aneurysms.
- The vascular supply to the pelvic kidney originated from three arteries branching off the inferior mesenteric artery.
- Percutaneous stent graft repair was performed for the aneurysms.
Implications:
- Endovascular repair of iliac artery aneurysms is a viable treatment option, even in complex anatomical variations.
- Recognition of associated congenital anomalies is crucial for successful surgical planning and execution.
- This case highlights the importance of comprehensive vascular assessment in patients with peripheral artery disease and anatomical variations.
Abstract:
We report the case of a 65-year-old man who developed chronic ischemia of the lower limbs. The angiogram showed bilateral aneurysm of both common iliac arteries in association with a left congenital pelvic kidney. The vascular supply was made by with three arteries originating in the inferior mesenteric artery. The aneurysms were treated with percutaneous stent grafts.