Extra-anatomic Endovascular Repair of an Abdominal Aortic Aneurysm with a Horseshoe Kidney Supplied by the Aneurysmal Aorta

Jorge Rey, Samuel Golpanian, Jane K. Yang, Enrique Moreno, Omaida C Velazquez, Lee J. Goldstein, Veer Chahwala

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Abdominal aortic aneurysm complicated by a horseshoe kidney (HSK, fused kidney) represents a unique challenge for repair. Renal arteries arising from the aneurysmal aorta can further complicate intervention. Reports exist describing the repair of these complex anatomies using fenestrated endografts, hybrid open repairs (debranching), and open aneurysmorrhaphy with preservation of renal circulation. We describe an extra-anatomic, fully endovascular repair of an abdominal aortic aneurysm with a HSK partially supplied by a renal artery arising from the aneurysm. We successfully applied aortouni-iliac endografting, femorofemoral bypass, and retrograde renal artery perfusion via the contralateral femoral artery to exclude the abdominal aortic aneurysm and preserve circulation to the HSK.

Original languageEnglish (US)
Pages (from-to)1021.e9-1021.e12
JournalAnnals of Vascular Surgery
Volume29
Issue number5
DOIs
StatePublished - Jul 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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