TECHNIQUE FOR RESECTION OF ATHEROSCLEROTIC ABDOMINAL AORTIC ANEURYSM WITH ANOMALOUS ORIGIN OF RENAL ARTERIES AND PELVIC DYSTOPIA OF THE LEFT KIDNEY
https://doi.org/10.21518/2307-1109-2019-1-121-127
Abstract
This article describes the clinical observation of a patient with an atherosclerotic abdominal aortic aneurysm and pelvic dystopia of the left kidney. Due to the anomalous origin of renal arteries, we have chosen a method of treatment consisted of resection and an aortic prosthetics and reimplantation of vessels extending from the aortic aneurysm. 5 years after surgery, the patient had an aneurysm of the left iliac artery, which required repeated intervention. Our approach allowed us to preserve all the renal arteries and renal function.
About the Authors
A. E. ZotikovRussian Federation
Dr. of Sci. (Med.), Professor, Leading Researcher, Surgeon of the Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27S. S. Ilyin
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department Surgeon of the Vascular Surgery
Department
Tel.: +7 (999) 870-26-45
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
V. A. Kulbak
Russian Federation
Cand. of Sci. (Med.), Researcher, Surgeon of the Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
D. I. Maryan
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
B. Sh. Gogiya
Russian Federation
Dr. of Sci. (Med.), General Surgeon, Plastic Surgeon, Oncologist, Head of Department of Herniology and Plastic
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
References
1. Srinivas M. R., Adarsh K. M., Jeeson R., Ashwini C., Nagaraj B. R. Congenital anatomic variants of the kidney and ureter: a pictorial essay. Jpn J Radiol. 2016;34 (03):181-193.
2. Muttarak M., Sriburi T. Congenital renal anomalies detected in adulthood. Biomed Imaging Interv J. 2012;8 (01):e7.
3. Hollis H. W., Jr., Rutherford R. B., Crawford G. J., Cleland B. P. Abdominal aortic aneurysm repair in patients with pelvic kidney. J Vasc Surg. 1989;9:404-9.
4. Srinivas M. R., Adarsh K. M., Jeeson R., Ashwini C., Nagaraj B. R. Congenital anatomic variants of the kidney and ureter: a pictorial essay. Jpn J Radiol. 2016;34 (03):181-193.
5. Cinman N. M., Okeke Z., Smith A. D. Pelvic kidney: associated diseases and treatment. J Endourol. 2007;21 (08):836-842.
6. Hollis H. W., Jr., Rutherford R. B., Crawford G. J., Cleland B. P. Abdominal aortic aneurysm repair in patients with pelvic kidney. J Vasc Surg. 1989;9:404-9.
7. Spear R., Maurel B., Sobocinski J., Perini P., Guillou M., Midulla M., Azzaoui R., Tefera G., Haulon S. Technical note and results in the management of anatomical variants of renal vascularization during endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2012;43:398-403.
8. Cinman N. M., Okeke Z., Smith A. D. Pelvic kidney: associated diseases and treatment. J Endourol. 2007;21 (08):836-842.
9. Kaplan D. B., Kwon C. C., Marin M. L., Hollier L. H. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies. J Vasc Surg. 1999;30:407-415.
10. Spear R., Maurel B., Sobocinski J., Perini P., Guillou M., Midulla M., Azzaoui R., Tefera G., Haulon S. Technical note and results in the management of anatomical variants of renal vascularization during endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2012;43:398-403.
11. Kaplan D. B., Kwon C. C., Marin M. L., Hollier L. H. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies. J Vasc Surg. 1999;30:407-415.
Review
For citations:
Zotikov A.E., Ilyin S.S., Kulbak V.A., Maryan D.I., Gogiya B.Sh. TECHNIQUE FOR RESECTION OF ATHEROSCLEROTIC ABDOMINAL AORTIC ANEURYSM WITH ANOMALOUS ORIGIN OF RENAL ARTERIES AND PELVIC DYSTOPIA OF THE LEFT KIDNEY. Aterotromboz = Atherothrombosis. 2019;(1):121-127. (In Russ.) https://doi.org/10.21518/2307-1109-2019-1-121-127

This work is licensed under a Creative Commons Attribution Attribution-NonCommercial-NoDerivs License.