| A Case Report of Abdominal Aortic
Aneurysm Associated with Crossed-Fused Ectopia of the Kidney |
(Department of Cardiovascular Surgery, Kameda Medical
Center, Chiba, Japan and Department of Cardiovascular Surgery,
Senpo Tokyo Takanawa Hospital*, Tokyo, Japan)
| Tomohiro Mizuno |
Masaaki Toyama |
Noriyuki Tabuchi |
| Kazuyuki Kuriu |
Masanori Kato* |
|
|
A rare case of abdominal aortic
aneurysm associated with crossed-fused ectopic kidney in a 74-year-old
man is reported. On enhanced CT scans, the maximum diameter of
his infrarenal aortic aneurysm was 55mm, and he lacked a right
kidney. A crossed ectopic kidney was fused to the lower part
of the left kidney. On preoperative examinations, only one feeding
artery to the ectopic kidney separated from the right common
iliac artery. However, laparotomy confirmed the presence of three
aberrant renal arteries, the middle one of which was very slim.
Aneurysmectomy and a bifurcated artificial graft replacement
was performed. After proximal anastomosis, the two larger aberrant
renal arteries were reconstructed under renal protection with
intermittent infusion of cold Ringer's solution. The smallest
aberrant renal artery was ligated. Postoperatively, this patient
recovered without any complications. In operations for abdominal
aortic aneurysm associated with renal anomaly including ectopic
kidney, horseshoe kidney, and pelvic kidney, it is important
to elucidate the anatomy of aberrant renal arteries preoperatively,
and reconstruct as many of these arteries as possible. This report
is apparently the fourth on abdominal aortic aneurysm associated
with crossed ectopic kidney.
Jpn. J. Cardiovasc. Surg. 30: 92-94 (2001) |
|
