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

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...

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Detalles Bibliográficos
Autores principales: Colacchio, Elda Chiara, Coggia, Marc, Salcuni, Matteo, Giorgio, Donato, De Robertis, Gianni, Colacchio, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056603/
https://www.ncbi.nlm.nih.gov/pubmed/32154469
http://dx.doi.org/10.1016/j.jvscit.2020.01.009
Descripción
Sumario: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.

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