A double shunt technique for the prevention of ischaemia of a congenital, solitary, pelvic kidney during abdominal aortic aneurysm repair: A case report

被引：8

作者：

Makris S.A. ^{[1
]}

Kanellopoulos E. ^{[1
]}

Chronopoulos A. ^{[1
]}

Vrachliotis T.G. ^{[2
]}

Doundoulakis N. ^{[1
]}

机构：

[1] Department of Vascular and Endovascular Surgery, Henry Dunant Hospital, Athens, 11526

[2] Department of Interventional Radiology, Henry Dunant Hospital, Athens, 11526

来源：

Journal of Medical Case Reports | / 5卷 / 1期

关键词：

Renal Artery; Abdominal Aortic Aneurysm; Abdominal Aortic Aneurysm; Common Iliac Artery; Renal Ischaemia;

D O I：

10.1186/1752-1947-5-92

中图分类号：

学科分类号：

摘要：

Introduction: Congenital solitary pelvic kidney is a rare condition, and its association with an abdominal aortic aneurysm is even more unusual. To the best of our knowledge, only two such cases have been reported in the literature to date. Case presentation: We report the case of a 59-year-old Caucasian man with a congenital solitary pelvic kidney, who was found to have an abdominal aortic aneurysm 83 mm in diameter. Abdominal computed tomography angiography clearly identified two renal arteries, one originating from the aortic bifurcation. and the other from the proximal portion of the right common iliac artery. At surgery, renal ischaemia was prevented by introduction of an axillofemoral shunt (consisting of two femoral cannulas and a vent tube of extracorporeal circulation) from the right axillary to the right femoral artery, and a second Argyle shunt from the right common iliac artery to the origin of the left renal artery. A 20 mm Dacron tube graft was then implanted. Our patient's postoperative renal function was normal. Conclusion: The renal preservation double shunt technique used in this case seems to be effective during abdominal aortic aneurysm repair. © 2011 Makris et al; licensee BioMed Central Ltd.

引用

共 9 条

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