Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A double shunt technique for the prevention of ischaemia of a congenital, solitary, pelvic kidney during abdominal aortic aneurysm repair: a case report. | Makris et al. Journal of Medical Case Reports 2011 5 92 http content 5 1 92 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access A double shunt technique for the prevention of ischaemia of a congenital solitary pelvic kidney during abdominal aortic aneurysm repair a case report 1 1 1 2 Sotirios A Makris Eleftherios Kanellopoulos Anastasios Chronopoulos Thomas G Vrachliotis Nikolaos Doundoulakis1 Abstract Introduction Congenital solitary pelvic kidney is a rare condition and its association with an abdominal aortic aneurysm is even more unusual. To the best of our knowledge only two such cases have been reported in the literature to date. Case presentation We report the case of a 59-year-old Caucasian man with a congenital solitary pelvic kidney who was found to have an abdominal aortic aneurysm 83 mm in diameter. Abdominal computed tomography angiography clearly identified two renal arteries one originating from the aortic bifurcation. and the other from the proximal portion of the right common iliac artery. At surgery renal ischaemia was prevented by introduction of an axillofemoral shunt consisting of two femoral cannulas and a vent tube of extracorporeal circulation from the right axillary to the right femoral artery and a second Argyle shunt from the right common iliac artery to the origin of the left renal artery. A 20 mm Dacron tube graft was then implanted. Our patient s postoperative renal function was normal. Conclusion The renal preservation double shunt technique used in this case seems to be effective during abdominal aortic aneurysm repair. Introduction Congenital solitary pelvic kidney CSPK has been reported to be present in 1 in 22 000 post-mortem examinations 1 . The combination of this rare renal anomaly with an abdominal aortic aneurysm AAA poses a therapeutic challenge because by definition suprarenal aortic clamping is always mandatory in these cases. Therefore patients with these concomitant disorders are at .
