A double shunt technique for the prevention of ischaemia of a congenital, solitary, pelvic kidney during abdominal aortic aneurysm repair: a case report
| Autor: | Eleftherios Kanellopoulos, Anastasios Chronopoulos, Sotirios A Makris, Nikolaos Doundoulakis, Thomas G. Vrachliotis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Medicine(all)
medicine.medical_specialty Pelvic kidney medicine.diagnostic_test business.industry Extracorporeal circulation lcsh:R Renal function lcsh:Medicine Case Report General Medicine Aortic bifurcation Right Common Iliac Artery medicine.disease Abdominal aortic aneurysm Surgery Shunt (medical) medicine.anatomical_structure Angiography medicine cardiovascular system business |
| Zdroj: | Journal of Medical Case Reports, Vol 5, Iss 1, p 92 (2011) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|