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Updated: Jan 22, 2026

Porcine Model of Infrarenal Abdominal Aortic Aneurysm

Porcine Model of Infrarenal Abdominal Aortic Aneurysm

Published on: November 21, 2019

Ruptured Abdominal Aortic Aneurysm and Horseshoe Kidney: Isthmus Sectioning By Endo GIA

Pagliariccio Gabriele¹, Gatta Emanuele¹, Carlo Grilli Cicilioni¹

¹1 Department of Vascular Surgery, Azienda Ospedali Riuniti Ancona, Via Conca, Ancona, Italy.

Vascular and Endovascular Surgery

|July 3, 2019

Abstract

Introduction:

A 90-year-old patient was admitted with a hemorrhagic shock from a huge ruptured abdominal aortic aneurysm with an unfavourable infrarenal aortic neck and a horseshoe kidney (HSK).

Report:

We decided on an open surgical approach: the HSK isthmus was sectioned with an Endo GIA 45 mm, and we performed a suprarenal aortic cross-clamping and an aortic graft reconstruction. Postoperatively, no urinary leakage was detected, and renal function showed no impairment. The patient died on the 10th postoperative day from pneumonia.

Conclusion:

We believe that the sectioning of the HSK isthmus with Endo GIA is a fast and simple maneouvre.

Keywords:

Endo GIA horseshoe kidney isthmus sectioning ruptured abdominal aortic aneurysm

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