Surgical treatment of a patient with an infrarenal aortic aneurysm and left pelvic kidney (case report)

• Marchenko A.V.
• Myalyuk P.A.
• Kadyraliev B.K.
• Porodikov A.A.
• Samoshina F.B.
• Belov V.A.

Abstract

Even with the current pace of development of medicine, and cardiovascular surgery in particular, we regularly encounter untypical clinical situations when therapeutic decision-making poses a significant challenge.

Presented herein is a clinical case concerning surgical treatment of a patient with an infrarenal aortic aneurysm and left pelvic kidney.

The difficulty of the situation is that ischemia due to cross-clamping of the aorta may damage the kidney, with further transition to renal insufficiency. We proposed a modified methodology of the procedure, during which for the purpose of nephroprotection, the first stage consisted in prosthetic repair of the renal artery, to be only thereafter followed by aortic cross-clamping.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Marchenko A.V., Belov V.A.; data collection and handling – Myalyuk P.A., Kadyraliev B.K.; statistical processing – Porodikov A.A.; draft manuscript preparation – Samoshina F.B.; manuscript revision – Myalyuk P.A., Samoshina F.B.

Keywords: infrarenal aortic aneurysm; pelvic kidney; prosthetic repair of the renal artery; kidney ischemia