与交叉融合肾异位相关的腹主动脉瘤的血管内修复术。

Colacchio Elda Chiara, Coggia Marc, Salcuni Matteo, Giorgio Donato, De Robertis Gianni, Colacchio Giovanni

Department of Cardiac, Thoracic, and Vascular Sciences, Vascular and Endovascular Surgery Section, University of Padua, Padua, Italy.

Department of Vascular Surgery, Ambroise Paré University Hospital, Boulogne-Billancourt, and Faculty of Health Sciences Simone Veil, Versailles Saint-Quentin-en-Yvelines University, Paris-Saclay University, Paris, France.

J Vasc Surg Cases Innov Tech. 2020 Mar 3;6(1):140-142. doi: 10.1016/j.jvscit.2020.01.009. eCollection 2020 Mar.

Chimney/snorkel endovascular aneurysm repair (Ch-EVAR) enables the minimally invasive treatment of abdominal aortic aneurysm in anatomically challenging and high-risk surgical cases. Here, we present the case of a 77-year-old man with an abdominal aortic aneurysm associated with crossed fused renal ectopia and an ectopic renal artery arising directly from the aneurysm sac. After successful implementation of Ch-EVAR, computed tomography angiography at 18 months revealed no endoleaks, patency of the parallel graft, and normal renal vascularization and function. This report underscores the feasibility of Ch-EVAR in a case with high anatomic complexity.

烟囱/烟囱型血管内动脉瘤修复术（Ch-EVAR）能够在解剖结构复杂和手术风险高的病例中对腹主动脉瘤进行微创治疗。在此，我们报告一例77岁男性患者，其腹主动脉瘤合并交叉融合型肾异位及一条直接起源于动脉瘤囊的异位肾动脉。成功实施Ch-EVAR术后，18个月时的计算机断层血管造影显示无内漏、并行移植物通畅，且肾血管化及功能正常。本报告强调了Ch-EVAR在解剖结构高度复杂病例中的可行性。