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Crossed Renal Ectopia and Aorto-Occlusive Disease: A Management Strategy.

Ng E, Campbell I, Choong AM, Dunglison N, Aziz M - Korean J Thorac Cardiovasc Surg (2015)

Bottom Line: Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon.The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure.We present and discuss the operative details of our patient and outline an approach to this subset of patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular and Endovascular Surgery, Royal Brisbane and Women's Hospital ; Discipline of Surgery, School of Medicine, University of Queensland.

ABSTRACT
We present a rare case of a patient with aortoiliac occlusive disease on the background of type A crossed renal ectopia, for whom open surgical intervention was required. Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon. The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure. We present and discuss the operative details of our patient and outline an approach to this subset of patients.

No MeSH data available.


Related in: MedlinePlus

Coronal computed tomography depicting (a) crossing renal ectopic tissue and (b) severe occlusive aortic bifurcation disease.
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f2-kjtcv-48-371: Coronal computed tomography depicting (a) crossing renal ectopic tissue and (b) severe occlusive aortic bifurcation disease.

Mentions: A computed tomography angiogram of the abdomen showed severe aortoiliac occlusive disease. She was not deemed suitable for endovascular repair. A crossed-fused ectopic kidney was noted in the right upper pelvis (Figs. 1–3). The ectopic kidney was supplied by two renal arteries, one arising from the right renal artery and supplying the upper pole at the L2 vertebral level and another right renal artery supplying the midpole at the L4 vertebral level. The arterial supply of the left kidney was an artery arising from the mid-line just above the abdominal aorta. Two renal veins were noted, merging into a common origin with the inferior vena cavae.


Crossed Renal Ectopia and Aorto-Occlusive Disease: A Management Strategy.

Ng E, Campbell I, Choong AM, Dunglison N, Aziz M - Korean J Thorac Cardiovasc Surg (2015)

Coronal computed tomography depicting (a) crossing renal ectopic tissue and (b) severe occlusive aortic bifurcation disease.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4622029&req=5

f2-kjtcv-48-371: Coronal computed tomography depicting (a) crossing renal ectopic tissue and (b) severe occlusive aortic bifurcation disease.
Mentions: A computed tomography angiogram of the abdomen showed severe aortoiliac occlusive disease. She was not deemed suitable for endovascular repair. A crossed-fused ectopic kidney was noted in the right upper pelvis (Figs. 1–3). The ectopic kidney was supplied by two renal arteries, one arising from the right renal artery and supplying the upper pole at the L2 vertebral level and another right renal artery supplying the midpole at the L4 vertebral level. The arterial supply of the left kidney was an artery arising from the mid-line just above the abdominal aorta. Two renal veins were noted, merging into a common origin with the inferior vena cavae.

Bottom Line: Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon.The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure.We present and discuss the operative details of our patient and outline an approach to this subset of patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular and Endovascular Surgery, Royal Brisbane and Women's Hospital ; Discipline of Surgery, School of Medicine, University of Queensland.

ABSTRACT
We present a rare case of a patient with aortoiliac occlusive disease on the background of type A crossed renal ectopia, for whom open surgical intervention was required. Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon. The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure. We present and discuss the operative details of our patient and outline an approach to this subset of patients.

No MeSH data available.


Related in: MedlinePlus