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先天性盆腔肾患者主动脉瘤的杂交修复术

Hybrid repair of aortic aneurysm in a patient with a congenital pelvic kidney.

作者信息

Krzyzaniak Halli, Wedel Naomi, Fatehi Hassanabad Ali, Cormack Richard, Rommens Kenton

机构信息

Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.

Division of Vascular Surgery, University of Calgary, Calgary, Alberta, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Dec 18;11(2):101708. doi: 10.1016/j.jvscit.2024.101708. eCollection 2025 Apr.

DOI:10.1016/j.jvscit.2024.101708
PMID:39886219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11780935/
Abstract

We describe a patient with an asymptomatic infrarenal abdominal aortic aneurysm. Treatment decisions were complicated by the presence of a left congenital pelvic kidney supplied by two renal arteries originating from the proximal common iliac arteries bilaterally and respiratory status that was prohibitive to open repair. A hybrid surgical repair was performed with a bifurcated aortic endograft and parallel grafting to revascularize the pelvic renal arteries. This procedure was combined with a right common iliac endovascular occlusion and femoral-femoral bypass. This case adds to the limited reports of endovascular management of patients with concomitant aneurysmal disease and ectopic kidneys.

摘要

我们描述了一名患有无症状肾下腹主动脉瘤的患者。治疗决策因以下情况而复杂化：存在一个由双侧起源于近端髂总动脉的两条肾动脉供血的左侧先天性盆腔肾，以及因呼吸状况而无法进行开放修复。采用分叉型主动脉内移植物并行移植以重建盆腔肾动脉，进行了杂交手术修复。该手术联合了右侧髂总动脉血管内闭塞和股-股旁路手术。该病例补充了关于合并动脉瘤疾病和异位肾患者的血管内治疗的有限报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b931/11780935/b57298d7c9af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b931/11780935/3e37c6e1642c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b931/11780935/b57298d7c9af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b931/11780935/3e37c6e1642c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b931/11780935/b57298d7c9af/gr2.jpg

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Eur J Vasc Endovasc Surg. 2024 Feb;67(2):192-331. doi: 10.1016/j.ejvs.2023.11.002. Epub 2024 Jan 23.
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Ectopic kidney vascularization.异位肾血管形成
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Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review.
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Chimney technique for solitary pelvic kidney.孤立肾烟囱技术。
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Reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries.累及肾-肠系膜动脉的主动脉瘤腔内修复报告标准。
J Vasc Surg. 2021 Jan;73(1S):4S-52S. doi: 10.1016/j.jvs.2020.06.011. Epub 2020 Jun 29.
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Endovascular repair of an abdominal aortic aneurysm associated with crossed fused renal ectopia.与交叉融合肾异位相关的腹主动脉瘤的血管内修复术。
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