Endovascular repair of an abdominal aortic aneurysm associated with crossed fused renal ectopia

Journal of Vascular Surgery Cases and Innovative Techniques
Elda Chiara ColacchioGiovanni Colacchio

Abstract

Chimney/snorkel endovascular aneurysm repair (Ch-EVAR) enables the minimally invasive treatment of abdominal aortic aneurysm in anatomically challenging and high-risk surgical cases. Here, we present the case of a 77-year-old man with an abdominal aortic aneurysm associated with crossed fused renal ectopia and an ectopic renal artery arising directly from the aneurysm sac. After successful implementation of Ch-EVAR, computed tomography angiography at 18 months revealed no endoleaks, patency of the parallel graft, and normal renal vascularization and function. This report underscores the feasibility of Ch-EVAR in a case with high anatomic complexity.

References

Nov 7, 2003·Journal of Vascular Surgery·Roy K GreenbergKenneth Ouriel
Sep 30, 2009·Journal of Vascular Surgery·Elliot L ChaikofFrank J Veith
Jun 27, 2017·Journal of Vascular Surgery·Mathew WoosterMurray Shames
Jul 30, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F PecoraroT A Neff
Mar 27, 2019·Journal of Vascular and Interventional Radiology : JVIR·Fabien LareyreJuliette Raffort

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