[Bilateral aneurysm of the common iliac artery and kidney pelvic ectopia: endovascular treatment]

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.