Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report.
J Cardiothorac Surg
; 16(1): 26, 2021 Mar 17.
Article
em En
| MEDLINE
| ID: mdl-33731177
ABSTRACT
BACKGROUND:
Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. CASE PRESENTATION We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries.CONCLUSION:
Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Prótese Vascular
/
Aneurisma Ilíaco
/
Implante de Prótese Vascular
/
Procedimentos Endovasculares
/
Nefropatias
/
Pelve Renal
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article