Guilherme Centofanti1,2, Kenji Nishinari3, Bruna De Fina3,4, Rafael Noronha Cavalcante3,4, Mariana Krutman3, Ross Milner5. 1. Hospital Alemão Osvaldo Cruz, R. Treze, de Maio, 1815, São Paulo, 01323-020, Brazil. guicentofanti@cavaendovascular.com. 2. Cava endovascular, Paulista Ave. 91, Suite 909, São Paulo, SP, 01311-000, Brazil. guicentofanti@cavaendovascular.com. 3. Hospital Alemão Osvaldo Cruz, R. Treze, de Maio, 1815, São Paulo, 01323-020, Brazil. 4. Cava endovascular, Paulista Ave. 91, Suite 909, São Paulo, SP, 01311-000, Brazil. 5. The University of Chicago Medicine & Biological Sciences, 5841 S. Maryland Ave., Rm. J-555, MC5028, Chicago, IL, 60637, USA.
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.
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.
Authors: Jagajan Karmacharya; Shane S Parmer; James N Antezana; Ronald M Fairman; Edward Y Woo; Omaida C Velazquez; Michael A Golden; Jeffrey P Carpenter Journal: J Vasc Surg Date: 2006-01 Impact factor: 4.268
Authors: Anders Wanhainen; Fabio Verzini; Isabelle Van Herzeele; Eric Allaire; Matthew Bown; Tina Cohnert; Florian Dick; Joost van Herwaarden; Christos Karkos; Mark Koelemay; Tilo Kölbel; Ian Loftus; Kevin Mani; Germano Melissano; Janet Powell; Zoltán Szeberin; Gert J de Borst; Nabil Chakfe; Sebastian Debus; Rob Hinchliffe; Stavros Kakkos; Igor Koncar; Philippe Kolh; Jes S Lindholt; Melina de Vega; Frank Vermassen; Martin Björck; Stephen Cheng; Ronald Dalman; Lazar Davidovic; Konstantinos Donas; Jonothan Earnshaw; Hans-Henning Eckstein; Jonathan Golledge; Stephan Haulon; Tara Mastracci; Ross Naylor; Jean-Baptiste Ricco; Hence Verhagen Journal: Eur J Vasc Endovasc Surg Date: 2018-12-05 Impact factor: 7.069
Authors: Joshua I Greenberg; Chelsea Dorsey; Ronald L Dalman; Jason T Lee; E J Harris; Tina Hernandez-Boussard; Matthew W Mell Journal: J Vasc Surg Date: 2012-04-04 Impact factor: 4.268
Authors: Aaron T Fargion; Fabrizio Masciello; Carlo Pratesi; Giovanni Pratesi; Giovanni Torsello; Konstantinos P Donas Journal: J Vasc Surg Date: 2018-07-30 Impact factor: 4.268