Surgical therapy of aorto-iliac aneurysm in a patient with congenital solitary pelvic kidney (CSPK): case report and literature review. Issue 2 (22nd February 2023)

• Record Type: Journal Article
• Authors: Capone, Amedeo; Fargion, Aaron Thomas; Esposito, Davide; Calugi, Gianmarco; Innocenti, Alessandro Alessi; Dorigo, Walter; Pratesi, Carlo; Pulli, Raffaele
• Is Part Of: Journal of surgical case reports. Volume 2023:Issue 2(2023)
• Publication Date: 2023-02-22
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjad053
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: We report a case of a man with an Aorto-Iliac aneurysm and a congenital solitary pelvic kidney (CSPK). The maximum diameter of the aneurysm was 58 mm and the pelvic kidney was perfused by a single renal artery originating from the aortic bifurcation. A computed tomography scan was used for pre-operative planning and the patient underwent aorto-iliac aneurysm replacement with a Dacron graft. The renal artery was reimplanted on the Dacron right limb with a 'Carrel patch'. Several strategies were adopted to prevent renal ischemia such as sequential aortic cross clamping, selective cold perfusion of renal artery and a temporary Pruitt–Inahara shunt. The post-operative course was characterized by a transient increase in serum creatinine that did not require treatments and the patient was discharged after seven days. Congenital anomalies such as CSPK represent a challenge for the surgeon; however, the adoption of different intraoperative available strategies allowed to reduce possible complications.