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CC BY 4.0 · Aorta (Stamford) 2018; 06(01): 021-027
DOI: 10.1055/s-0038-1636992
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ruptured Abdominal Aortic Aneurysm in a Patient with Congenital Fused Pelvic Kidney: A Case Report of Emergency Endovascular Treatment

Claudio Bianchini Massoni
1   Vascular Surgery - Department of Surgical Sciences, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
,
Matteo Azzarone
1   Vascular Surgery - Department of Surgical Sciences, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
,
Danilo Barbarisi
1   Vascular Surgery - Department of Surgical Sciences, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
,
Paolo Perini
1   Vascular Surgery - Department of Surgical Sciences, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
,
Antonio Freyrie
1   Vascular Surgery - Department of Surgical Sciences, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
› Author Affiliations Funding None.
Further Information

Publication History

Publication Date:
27 July 2018 (online)

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Abstract

A 90-year-old male developed acute onset of abdominal and lumbar pain due to the rupture of an 11-cm abdominal aortic aneurysm. A congenital fused pelvic kidney perfused by three renal arteries arising from iliac axes was detected. In an emergent setting, an aorto-uni-iliac endograft was deployed through right femoral surgical access with occlusion of the upper right renal artery. An occluder device was placed in the common iliac artery above the renal artery through left femoral access. A femorofemoral crossover bypass completed the procedure. The patient developed acute renal failure, with no dialysis necessity. One-month computed tomography angiography showed procedure success.

Keywords

fused pelvic kidney - abdominal aortic aneurysm - aortic rupture - endovascular procedures
 

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