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Vascular and Endovascular Surgery
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*Aortic Aneurysm
*Kidney Diseases
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Abdominal Aortic Aneurysm With Ectopic Renal Artery Origins: A Case Report

T. Kotsis, MD, PhD, FACA

Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece, kotsisth{at}otenet.gr

S. Mylonas, MD

Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece

K. Katsenis, MD, PhD

Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece

V. Arapoglou, MD, PhD

Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece

P. Dimakakos, MD, PhD, FACS

Vascular Unit, 2nd Clinic of Surgery, University of Athens, Aretaieion Hospital, Athens, Greece

The coexistense of an abdominal aortic aneurysm with ectopic main renal vasculature complicates aortic surgery and mandates a focused imaging evaluation and a carefully planned operation to minimize renal ischemia. We present the case of a 75-year-old man with an abdominal aortic aneurysm and a right kidney with two ectopic main renal arteries, one originating from the aneurysmal distal aorta and the other from the right common iliac artery; the patient underwent a surgical repair and followed an uneventful course with no deterioration of renal function. The preoperative and intraoperative details are reported, along with a review of the literature.

Key Words: abdominal aortic aneurysm • ectopic renal artery

Vascular and Endovascular Surgery, Vol. 41, No. 5, 463-466 (2007)
DOI: 10.1177/1538574407303179


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