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

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

doi:10.1016/j.jvscit.2020.01.009

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

J Vasc Surg Cases Innov Tech. 2020 Mar 3;6(1):140-142. doi: 10.1016/j.jvscit.2020.01.009. eCollection 2020 Mar.

Authors

Elda Chiara Colacchio¹, Marc Coggia², Matteo Salcuni³, Donato Giorgio⁴, Gianni De Robertis⁴, Giovanni Colacchio⁴

Affiliations

¹ Department of Cardiac, Thoracic, and Vascular Sciences, Vascular and Endovascular Surgery Section, University of Padua, Padua, Italy.
² 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.
³ Department of Radiology and Interventional Radiology, Marrelli Hospital, Crotone, Italy.
⁴ Department of Vascular and Endovascular Surgery, General Regional Hospital Ente Ecclesiastico "F.Miulli", Acquaviva delle Fonti, Italy.

Abstract

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.

Publication types

Case Reports