caa a22 4500 606220933 CHVBK 20210128101126.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00380-014-0483-x doi (NATIONALLICENCE)springer-10.1007/s00380-014-0483-x Aortoiliac aneurysm with congenital right pelvic kidney [Elektronische Daten] [Kazuma Date, Shuuichi Okada, Masahiko Ezure, Hitomi Takihara, Shuuichi Okonogi, Yutaka Hasegawa, Yasushi Sato, Tatsuo Kaneko] The association of congenital pelvic kidney with abdominal aortoiliac aneurysm is an extremely rare clinical finding. Previous reports have described various methods of aneurysm repair with successful preservation of the function of pelvic kidney. However, to our knowledge, reconstruction of more than two renal arteries has not been established. We report a case of abdominal aortic aneurysm complicated by congenital right pelvic kidney in a 72-year-old man. Computed tomography (CT) revealed an abdominal aortic aneurysm with a maximum diameter of 54mm and a right common iliac aneurysm of 45mm. In addition, he had a congenital right pelvic kidney and CT angiography identified three right pelvic renal arteries. The upper artery originated from the bifurcation of the terminal aorta and the lower two originated from the right common iliac artery. Three-dimensional CT was helpful for the accurate planning of the operation. Open surgical repair of the aortoiliac aneurysm with a Dacron bifurcated graft replacement was decided and reimplantation of all three right pelvic kidney arteries to the right limb of the graft was also performed. For renal preservation, the right pelvic kidney arteries were perfused with cold Ringer's lactate using a rapid infusion pump and coronary perfusion cannula. The patient's postoperative course was uneventful, and worsening of renal function was not observed. The perfusion of renal arteries with cold Ringer's solution was thought to be a simple and appropriate procedure for renal protection. Springer Japan, 2014 Abdominal aortic aneurysm nationallicence Congenital pelvic kidney nationallicence Renal ischemia nationallicence Date Kazuma Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Okada Shuuichi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Ezure Masahiko Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Takihara Hitomi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Okonogi Shuuichi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Hasegawa Yutaka Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Sato Yasushi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Kaneko Tatsuo Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut Heart and Vessels Springer Japan 30/3(2015-05-01), 420-425 0910-8327 30:3<420 2015 30 380 https://doi.org/10.1007/s00380-014-0483-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-014-0483-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Date Kazuma Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Okada Shuuichi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Ezure Masahiko Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Takihara Hitomi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Okonogi Shuuichi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Hasegawa Yutaka Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Sato Yasushi Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Kaneko Tatsuo Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/3(2015-05-01), 420-425 0910-8327 30:3<420 2015 30 380