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Revascularization of an Abdominal Aortic Aneurysm After Surgical Exclusion: Case Report and Literature Review

From the Baystate Medical Center, Springfield, Massachusetts

Jacob Shammash

From the Baystate Medical Center, Springfield, Massachusetts

Vincent Guardione

From the Baystate Medical Center, Springfield, Massachusetts

Joel Berman

From the Baystate Medical Center, Springfield, Massachusetts

A high-risk patient underwent exclusion of an abdominal aortic aneurysm with aortofemoral bypass. During the procedure a horseshoe kidney was found to be overlying the aorta. Postoperatively retrograde perfusion of the aneurysm via a recanalized right iliac artery occurred and led to doubling of the aneu rysm's size, necessitating reoperation. The operative approach and pertinent literature are reviewed.

Vascular and Endovascular Surgery, Vol. 24, No. 5, 356-359 (1990)
DOI: 10.1177/153857449002400512


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