Abdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery. (January 2017)

• Record Type: Journal Article
• Authors: Rao, Ajit; Korayem, Adam; Tadros, Rami; Faries, Peter; Marin, Michael; Chander, Rajiv
• Is Part Of: Vascular & endovascular surgery. Volume 51:Number 1(2017)
• Page Start: 36
• Page End: 37
• Publication Date: 2017-01
• Subjects: EVAR -- renal artery -- aortic aneurysm -- renal artery variation; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574416682174
• Languages: English
• ISSNs: 1538-5744

Abstract

A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.