Open AccessAbdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery
Author(s) -
Ajit Rao,
Adam H. Korayem,
Rami O. Tadros,
Peter L. Faries,
Michael Marin,
Rajiv K. Chander
Publication year - 2016
Publication title -
vascular and endovascular surgery/vascular and endovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1938-9116
pISSN - 1538-5744
DOI - 10.1177/1538574416682174
Subject(s) - medicine , superior mesenteric artery , abdominal aortic aneurysm , radiology , sma* , renal artery , endovascular aneurysm repair , stent , aneurysm , surgery , inferior mesenteric artery , celiac artery , artery , kidney , mathematics , combinatorics
A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.
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