Endovascular repair of an abdominal aortic aneurysm associated with crossed fused renal ectopia

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

Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2020)

Endovascular repair of an abdominal aortic aneurysm associated with crossed fused renal ectopia

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

Affiliations

Elda Chiara Colacchio, MD: Department of Cardiac, Thoracic, and Vascular Sciences, Vascular and Endovascular Surgery Section, University of Padua, Padua, Italy
Marc Coggia, MD: 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
Matteo Salcuni, MD: Department of Radiology and Interventional Radiology, Marrelli Hospital, Crotone, Italy
Donato Giorgio, MD: Department of Vascular and Endovascular Surgery, General Regional Hospital Ente Ecclesiastico “F.Miulli”, Acquaviva delle Fonti, Italy
Gianni De Robertis, MD: Department of Vascular and Endovascular Surgery, General Regional Hospital Ente Ecclesiastico “F.Miulli”, Acquaviva delle Fonti, Italy
Giovanni Colacchio, MD: Department of Vascular and Endovascular Surgery, General Regional Hospital Ente Ecclesiastico “F.Miulli”, Acquaviva delle Fonti, Italy; Correspondence: Giovanni Colacchio, MD, Department of Vascular and Endovascular Surgery, General Regional Hospital Ente Ecclesiastico “F.Miulli”, Strada Provinciale 127 Acquaviva-Santeramo, km 4.100, 70021 Acquaviva delle Fonti, Bari, Italy

Journal volume & issue: Vol. 6, no. 1
pp. 140 – 142

Abstract

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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. Keywords: Abdominal aortic aneurysm, Chimney endovascular aneurysm repair, Crossed fused renal ectopia

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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