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Abdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery
Ajit Rao1, Adam Korayem1, Rami Tadros1
11 Division of Vascular Surgery, Mount Sinai Hospital, New York, NY, USA.
Abstract:
A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.
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