Case ReportEndovascular Reconstruction of Aortoiliac Occlusive Disease with an Aberrant Pelvic Kidney
Section snippets
Case Report
A 63-year-old woman with a history of hepatitis C with cirrhosis, hepatocellular carcinoma, hypertension, intermittent stable angina, chronic kidney disease, and morbid obesity presented with progressive bilateral lower extremity pain for 2 years. The patient's symptoms progressed from intermittent claudication to constant bilateral lower extremity rest pain, along with a left great toe subcentimeter ulcer. Computed tomography angiography demonstrated severe occlusive disease of her aorta,
Discussion
Our patient presented with severe bilateral aortoiliac occlusive disease complicated by aberrant renal vasculature due to an ectopic right pelvic kidney. Preoperative renal perfusion study showed no significant renal artery stenosis of either kidney. We felt compelled to preserve the pelvic kidney as her estimated glomerular filtration rate had decreased to 63 and she was already in stage 2 chronic kidney disease. The combination of a congenital pelvic kidney with aortoiliac occlusive disease
References (23)
- et al.
Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease
J Vasc Surg
(2008) - et al.
Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II)
J Vasc Surg
(2007) - et al.
Iliac artery stenting combined with open femoral endarterectomy is as effective as open surgical reconstruction for severe iliac and common femoral occlusive disease
J Vasc Surg
(2011) - et al.
Outcomes of covered kissing stent placement compared with bare metal stent placement in the treatment of atherosclerotic occlusive disease at the aortic bifurcation
J Vasc Interv Radiol
(2010) - et al.
Emerging role of endovascular grafts in complex aortoiliac occlusive disease
J Vasc Surg
(2003) - et al.
A systematic review of endovascular treatment of extensive aortoiliac occlusive disease
J Vasc Surg
(2010) - et al.
Primary stenting for aortic lesions: from single stenoses to total aortoiliac occlusions
J Vasc Surg
(2008) - et al.
Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patients
J Vasc Surg
(2006) - et al.
Kissing stents in the aortic bifurcation—a valid reconstruction for aorto-iliac occlusive disease
Eur J Vasc Endovasc Surg
(2008) - et al.
Aortoiliac occlusive vascular disease in association with congenital pelvic kidney
Ann Vasc Surg
(1993)
ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC)
Eur Heart J
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Endovascular reconstruction of aortoiliac occlusive disease in a case with claudication and an ectopic pelvic kidney
2022, Annals of Medicine and SurgeryCitation Excerpt :However, it may cause significant symptoms like hypertension, urinary tract infections, or renal calculi [4]. Ectopic pelvic kidney coincident with the aortoiliac occlusive disease is rare [5]. A patient with iliac artery occlusion can present with a wide range of clinical symptoms, such as claudication and advanced symptoms of chronic ischemia like ulcers.
Aortoiliac occlusive disease associated with an ectopic pelvic kidney
2020, Asian Cardiovascular and Thoracic AnnalsPuzzle - Answer
2016, Anatolian Journal of Cardiology