Eş zamanlı at nalı böbreği olan abdominal aort anevrizmasının baca yöntemi ile endovasküler stent greft tamiri

Altmış sekiz yaşında erkek hasta infrarenal abdominal aort anevrizmasının tedavisi için kliniğimize sevk edildi. Bilgisayarlı tomografi anjiyografide anevrizmanın üstünde at nalı böbreği izlendi. Hastada anevrizmanın ön tarafından çıkan aksesuar renal arter mevcut idi. Endovasküler anevrizma tamiri yapıldı ve aksesuar renal arter baca tekniği ile morbidite olmadan başarılı bir şekilde revaskülarize edildi. Ameliyat sonrası bilgisayarlı tomografi anjiyografide, kaçak olmaksızın ve baca greft açıklığı ile anevrizmanın tamamen ekarte edildiği görüldü.

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney

A 68-year-old male patient was referred to our clinic fortreatment of an infrarenal abdominal aortic aneurysm. Computedtomography angiography revealed a horseshoe kidney overlyingthe aneurysm. The patient had an accessory renal artery arisingfrom the anterior aspect of the aneurysm. Endovascular aneurysmrepair was performed and the accessory renal artery could berevascularized successfully by chimney technique without anymorbidity. Postoperative computed tomography angiographyrevealed complete exclusion of the aneurysm with no endoleakand a patent chimney graft

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