A staged repair of crossed fused renal ectopia with complex abdominal aortic and iliac aneurysms Mary Teresa O'Donnell, MD, John Maddox, MD, Gary Wind,

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Presentation transcript:

A staged repair of crossed fused renal ectopia with complex abdominal aortic and iliac aneurysms Mary Teresa O'Donnell, MD, John Maddox, MD, Gary Wind, MD, FACS, Dipankar Mukherjee, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 3, Pages 77-79 (September 2016) DOI: 10.1016/j.jvsc.2016.03.001 Copyright © 2016 Terms and Conditions

Fig 1 Coronal image demonstrating the 6.9-cm abdominal aortic aneurysm (AAA) and the large 6.6-cm left common iliac aneurysm. The renal artery used for the aortorenal bypass is visible exiting the tortuous aortoiliac junction. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 77-79DOI: (10.1016/j.jvsc.2016.03.001) Copyright © 2016 Terms and Conditions

Fig 2 Artist's rendition illustrating the anatomy after the first stage of the procedure: abdominal aortic aneurysm (AAA), large left common iliac aneurysm, right internal iliac aneurysm, right-sided crossed fused ectopic kidney, relationship of the two renal arteries to the aneurysms, and appearance of the aortorenal bypass. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 77-79DOI: (10.1016/j.jvsc.2016.03.001) Copyright © 2016 Terms and Conditions

Fig 3 Completion aortogram depicting patent aortorenal graft originating proximal to the deployed endograft. Note the tortuosity of bilateral iliac arteries. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 77-79DOI: (10.1016/j.jvsc.2016.03.001) Copyright © 2016 Terms and Conditions