Concomitant Renal Artery and Aortic Aneurysm: Is Endovascular Surgery the Correct Approach?

Benedetta Spampinato, Alberto M. Settembrini, Silvia Romagnoli, Ilenia D'Alessio, Maurizio Domanin, Livio Gabrielli

Research output: Contribution to journalArticle

Abstract

Our case illustrates the concomitant presence of a giant aneurysm of the left renal artery at the ostium and an abdominal aortic aneurysm, in presence of a complex aortic anatomy. Type of approach and timing of the treatment is still not well established for the rare coexistence of these 2 pathologies. In case of surgical high-risk patients, endovascular therapy is considered now the best choice to exclude arterial and aortic aneurysms although there are chances to do further interventions in the follow-up. For this reason, we simultaneously treated both the aneurysms through an embolization with plugs and coils of renal aneurysm and endovascular exclusion of aortic aneurysm; in the follow-up, renal function of the patient worsened until hemodialysis and we saw the reperfusion of renal aneurysm and the onset of endoleak I type A from above the aortic and renal aneurysm and B from iliac legs of the previous endograft. We performed a parallel graft technique on visceral vessels to exclude the refilling of both aneurysms and preserve visceral vascularization. Follow-up at 12 months showed the complete exclusion of the aneurysms and the patency of stents in celiac trunk and superior mesenteric artery.

Original languageEnglish
Pages (from-to)473.e1-473.e5
JournalAnnals of Vascular Surgery
Volume61
DOIs
Publication statusPublished - 2019

Fingerprint

Aortic Aneurysm
Renal Artery
Aneurysm
Kidney
Endoleak
Superior Mesenteric Artery
Abdominal Aortic Aneurysm
Abdomen
Reperfusion
Stents
Renal Dialysis
Leg
Anatomy
Pathology
Transplants
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Concomitant Renal Artery and Aortic Aneurysm : Is Endovascular Surgery the Correct Approach? / Spampinato, Benedetta; Settembrini, Alberto M.; Romagnoli, Silvia; D'Alessio, Ilenia; Domanin, Maurizio; Gabrielli, Livio.

In: Annals of Vascular Surgery, Vol. 61, 2019, p. 473.e1-473.e5.

Research output: Contribution to journalArticle

Spampinato, Benedetta ; Settembrini, Alberto M. ; Romagnoli, Silvia ; D'Alessio, Ilenia ; Domanin, Maurizio ; Gabrielli, Livio. / Concomitant Renal Artery and Aortic Aneurysm : Is Endovascular Surgery the Correct Approach?. In: Annals of Vascular Surgery. 2019 ; Vol. 61. pp. 473.e1-473.e5.
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