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Published in: Journal of Cardiothoracic Surgery 1/2021

Open Access 01-12-2021 | Aneurysm | Case report

Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

Authors: Guilherme Centofanti, Kenji Nishinari, Bruna De Fina, Rafael Noronha Cavalcante, Mariana Krutman, Ross Milner

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

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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.
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Metadata
Title
Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report
Authors
Guilherme Centofanti
Kenji Nishinari
Bruna De Fina
Rafael Noronha Cavalcante
Mariana Krutman
Ross Milner
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-021-01409-x

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