Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies
Purpose: The renal vasculature is unique in such a way that each artery behaves as an end artery. The amount of renal damage that can occur by sacrificing these arteries are so unpredictable. The presence of aberrant or accessory renal arteries makes open repair of the abdominal aortic aneurysm (AAA...
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Wolters Kluwer Medknow Publications
2018-01-01
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doaj-ab120f7aac6049c7a860a86c9d968c2e2020-11-24T22:17:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992018-01-015429229410.4103/ijves.ijves_48_18Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomaliesVineeth KumarShivanesan PitchaiSreekumar RamachandranHarishankar Ramachandran NairPurpose: The renal vasculature is unique in such a way that each artery behaves as an end artery. The amount of renal damage that can occur by sacrificing these arteries are so unpredictable. The presence of aberrant or accessory renal arteries makes open repair of the abdominal aortic aneurysm (AAA) technically more challenging than conventional surgery. Here, we describe various techniques used to preserve the renal vasculature and prevent renal ischemia during surgery. Methods: We present a case of saccular AAA with low lying right kidney with an aberrant renal artery arising from neck and an accessory renal artery arising from the body of the aneurysm. We performed an open repair of the aneurysm, during which we did inter-renal clamping and renal perfusion with renoplegia solution using Pruitt-Inahara shunt. Conclusions: Interrenal clamping and administration of optimal renoplegia solution through shunt are very useful adjuncts to prevent renal ischemia during open repair of AAA with congenital renal vascular anomalies. Pruitt-Inahara Shunt, classically described in carotid endarterectomy, can be used in AAA surgeries for administering renoplegia.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2018;volume=5;issue=4;spage=292;epage=294;aulast=KumarAbdominal aortic aneurysmabdominal aortic aneurysmaberrant the renal arteryaccessory renal arterycongenital renal vascular anomaliesPruitt-Inahara shuntrenoplegia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vineeth Kumar Shivanesan Pitchai Sreekumar Ramachandran Harishankar Ramachandran Nair |
spellingShingle |
Vineeth Kumar Shivanesan Pitchai Sreekumar Ramachandran Harishankar Ramachandran Nair Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies Indian Journal of Vascular and Endovascular Surgery Abdominal aortic aneurysm abdominal aortic aneurysm aberrant the renal artery accessory renal artery congenital renal vascular anomalies Pruitt-Inahara shunt renoplegia |
author_facet |
Vineeth Kumar Shivanesan Pitchai Sreekumar Ramachandran Harishankar Ramachandran Nair |
author_sort |
Vineeth Kumar |
title |
Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
title_short |
Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
title_full |
Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
title_fullStr |
Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
title_full_unstemmed |
Open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
title_sort |
open repair of an abdominal aortic aneurysm in a patient with congenital renal vascular anomalies |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Vascular and Endovascular Surgery |
issn |
0972-0820 2394-0999 |
publishDate |
2018-01-01 |
description |
Purpose: The renal vasculature is unique in such a way that each artery behaves as an end artery. The amount of renal damage that can occur by sacrificing these arteries are so unpredictable. The presence of aberrant or accessory renal arteries makes open repair of the abdominal aortic aneurysm (AAA) technically more challenging than conventional surgery. Here, we describe various techniques used to preserve the renal vasculature and prevent renal ischemia during surgery. Methods: We present a case of saccular AAA with low lying right kidney with an aberrant renal artery arising from neck and an accessory renal artery arising from the body of the aneurysm. We performed an open repair of the aneurysm, during which we did inter-renal clamping and renal perfusion with renoplegia solution using Pruitt-Inahara shunt. Conclusions: Interrenal clamping and administration of optimal renoplegia solution through shunt are very useful adjuncts to prevent renal ischemia during open repair of AAA with congenital renal vascular anomalies. Pruitt-Inahara Shunt, classically described in carotid endarterectomy, can be used in AAA surgeries for administering renoplegia. |
topic |
Abdominal aortic aneurysm abdominal aortic aneurysm aberrant the renal artery accessory renal artery congenital renal vascular anomalies Pruitt-Inahara shunt renoplegia |
url |
http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2018;volume=5;issue=4;spage=292;epage=294;aulast=Kumar |
work_keys_str_mv |
AT vineethkumar openrepairofanabdominalaorticaneurysminapatientwithcongenitalrenalvascularanomalies AT shivanesanpitchai openrepairofanabdominalaorticaneurysminapatientwithcongenitalrenalvascularanomalies AT sreekumarramachandran openrepairofanabdominalaorticaneurysminapatientwithcongenitalrenalvascularanomalies AT harishankarramachandrannair openrepairofanabdominalaorticaneurysminapatientwithcongenitalrenalvascularanomalies |
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