1. A staged repair of crossed fused renal ectopia with complex abdominal aortic and iliac aneurysms
- Author
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John S. Maddox, Mary T. O'Donnell, Dipankar Mukherjee, and Gary Wind
- Subjects
medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Common iliac aneurysm ,medicine.medical_treatment ,lcsh:Surgery ,Fused kidney ,030204 cardiovascular system & hematology ,Internal iliac aneurysm ,Endovascular aneurysm repair ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aneurysmal disease ,Medicine ,Iliac Aneurysm ,cardiovascular diseases ,Staged repair ,Renal ectopia ,business.industry ,lcsh:RD1-811 ,medicine.disease ,Surgery ,lcsh:RC666-701 ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business - Abstract
Crossed fused renal ectopia in the presence of abdominal aortic aneurysms (AAAs) is a rare challenge to therapy. A 68-year-old man had a 6.9-cm AAA, a 6.6-cm left common iliac aneurysm, and a 3.2-cm right internal iliac aneurysm. He had multiple comorbidities and a right-sided crossed fused kidney supplied by two small renal arteries arising from the AAA. Aortorenal bypass with staged endovascular aneurysm repair was used to treat the aneurysmal disease. Two-stage open aortorenal bypass followed by endovascular repair for complex aneurysms is feasible in the rare patient with such a congenital anomaly.
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