Related Experiment Videos
Abdominal aortic aneurysm and pelvic kidney
The Journal of Cardiovascular Surgery
|March 1, 1984
Insights
A 66-year-old male with abdominal aortic aneurysm and a pelvic kidney underwent successful treatment. The procedure minimized renal ischemia time and involved specific arterial anastomoses for the kidney's blood supply.
Area of Science:
- Vascular Surgery
- Nephrology
- Anatomy
Background:
- Abdominal aortic aneurysms (AAA) can present complex anatomical challenges.
- Pelvic kidney anomalies require tailored surgical approaches during AAA repair.
Observation:
- A 66-year-old male patient presented with an abdominal aortic aneurysm.
- The patient also had a rare anatomical variation: a pelvic kidney.
Findings:
- Successful surgical management of the abdominal aortic aneurysm was achieved.
- Renal ischemia time was maintained below 40 minutes.
- Renal arteries were reimplanted using a cuff technique with common iliac artery anastomoses to the graft.
Implications:
- This case demonstrates a feasible surgical strategy for AAA repair in the presence of a pelvic kidney.
- Minimizing renal ischemia is crucial for preserving kidney function during complex aortic reconstructions.
- The described technique offers a viable option for managing concurrent AAA and pelvic kidney anomalies.
Abstract:
Abdominal aortic aneurysm associated with a pelvic kidney was recognized and treated successfully in a 66-year-old male by keeping renal ischemia time to less than 40 minutes and implanting the renal arterial supply as a cuff with common iliac arterial anastomoses to each Dacron limb of the graft.