Considerations on the treatment for aortoiliac aneurysmal disease with concomitant ectopic kidney

Authors

  • Carlos Veterano Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0003-2476-7428
  • Inês Antunes Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0002-0526-4887
  • Carlos Veiga Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0001-8721-0702
  • Daniel Mendes Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0002-5460-012X
  • Henrique Rocha Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal
  • João Castro Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal
  • Andreia Pinelo Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0002-7870-7044
  • Pedro Sá Pinto Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0002-5432-0486
  • Rui Almeida Serviço de Angiologia e Cirurgia Vascular - Centro Hospitalar Universitário do Porto, Portugal; Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Portugal

DOI:

https://doi.org/10.48750/acv.341

Keywords:

Ectopic kidney, aortoiliac aneurysmal disease, endovascular repair, open repair

Abstract

INTRODUCTION: Ectopic kidneys with concomitant aortoiliac aneurysmal disease have been previously reported in the literature, however its exact prevalence is unknown. The objective of this review is to summarize current knowledge on the treatment this special group of patients.

METHODS: A non-systematic literature research was performed on the treatment of aortoiliac aneurysmal disease in patients with ectopic kidneys.

RESULTS: Literature on the management of patients with aorto-iliac aneurysms and concomitant ectopic kidneys is limited to case reports and very small series. Treatment modalities which include open, endovascular or hybrid techniques, should preserve the variable vasculature of the ectopic kidney. Several different surgical solutions have been proposed, highlighting the uncertainty on the optimal management strategy. However, a growing number of reports suggest safety and efficacy with adapted endovascular techniques.

CONCLUSION: In parallel to the general trend in the management of abdominal aortic aneurysm, it is expected that a growing number of patients will concomitant aorto-iliac aneurysm and ectopic kidneys will be treated with endovascular techniques.

Downloads

Download data is not yet available.

References

Yuksel A, Batukan C. Sonographic findings of fetuses with an empty renal fossa and normal amniotic fluid volume. Fetal Diagn Ther. 2004;19:525-32.

Ezzet F, Dorazio R, Herzberg R. Horseshoe and pelvic kidneys associated with abdominal aortic aneurysms. Am J Surg. 1977;1342:196-8.

Yano H, Konagai N, Maeda M, Itoh M, Kuwabara A, Kudou T, et al. Abdominal aortic aneurysm associated with crossed renal ectopia without fusion: Case report and literature review. J Vasc Surg. 2003;37:1098-102.

Hollis HW, Rutherford RB, Crawford GJ, Cleland BP, Marx WH, Clark JR. Abdominal aortic aneurysm repair in patients with pelvic kidney: Technical considerations and literature review. J Vasc Surg. 1989;93:404-9.

Glock Y, Blasevich R, Laghzaoui A, Roux D, Fournial G. Abdominal aortic aneurysm and congenital pelvic kidney: A rare association. Texas Hear Inst J. 1997;24:131-3.

Marone EM, Tshomba Y, Brioschi C, Calliari FM, Chiesa R. Aorto-iliac aneurysm associated with congenital pelvic kidney: A short series of successful open repairs under hypothermic selective renal perfusion. J Vasc Surg. 2008;47:638-44.

Date K, Okada S, Ezure M, Takihara H, Okonogi S, Hasegawa Y, et al. Aortoiliac aneurysm with congenital right pelvic kidney. Heart Vessels. 2015;303:420-5.

Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz S-E. Solitary aneurysms of the iliac arterial system: An estimate of their frequency of occurrence. J Vasc Surg. 1989;104:381-4.

Rehrig ST, Goff JM, Hadro NC, Gillespie DL, O’donnell SD, Rich NM. Repair of Bilateral Iliac Artery Aneurysms Associated with a Congenital Pelvic Kidney. Vasc Endovascular Surg. 2001;356:463-7.

Morales JP, Greenberg RK. Customised Stent Graft for Complex Thoraco- abdominal Aneurysm Associated with Congenital Pelvic Kidney. Eur J Vasc Endovasc Surg. 2009;375:557-559.

Bianchini Massoni C, Azzarone M, Barbarisi D, Perini P, Freyrie A. Ruptured Abdominal Aortic Aneurysm in a Patient with Congenital Fused Pelvic Kidney: A Case Report of Emergency Endovascular Treatment. AORTA. 2018;06:21-7.

Malinowski MJ, Al-Nouri O, Hershberger R, Halandras PM, Aulivola B, Cho JS. Abdominal aortic aneurysm associated with congenital solitary pelvic kidney treated with novel hybrid technique. Ann Vasc Surg. 2014;28:1566. e7-e10.

Veterano CFP, Veiga C, Almeida R, Pinto PS. Iliac side branch technique for repair of bilateral iliac artery aneurysms associated with a congenital pelvic kidney. Ann Vasc Surg. 2021;77:348e1-e6.

Downloads

Published

2022-09-11

How to Cite

1.
Veterano C, Antunes I, Veiga C, Mendes D, Rocha H, Castro J, Pinelo A, Sá Pinto P, Almeida R. Considerations on the treatment for aortoiliac aneurysmal disease with concomitant ectopic kidney. Angiol Cir Vasc [Internet]. 2022 Sep. 11 [cited 2022 Sep. 25];18(2):72-4. Available from: https://acvjournal.com/index.php/acv/article/view/341

Issue

Section

Review Article