Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm Associated with Polycystic Kidney Disease

EJVES Extra Pub Date : 2012-09-01 DOI:10.1016/j.ejvsextra.2012.06.003

A.H. Perera , E. Kashef , N. Courtois , J. Wolfe

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Abstract

Introduction

We report an incidental finding of a 9.8 cm Crawford type III thoraco-abdominal aortic aneurysm associated with autosomal dominant polycystic kidney disease (ADPKD).

Case report

CT imaging revealed a grossly enlarged polycystic liver and right kidney in a 54-year-old female. The patient had a complex medical history including end-stage renal failure requiring haemodialysis and chronic obstructive pulmonary disease. She had experienced back pain for eighteen months. This was attributed to a progression of pain secondary to abdominal polycystic disease and therefore not investigated. She had previously undergone a left nephrectomy. A single-stage hybrid approach with open retrograde visceral re-vascularisation and endovascular stenting was carried out successfully to treat the aneurysm.

Discussion

We report this case to highlight the association between aortic aneurysms and ADPKD, and we present a solution to the complex technical problem involved.

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多囊肾病相关胸腹主动脉瘤混合修复术

我们报告一个偶然发现的9.8厘米克劳福德III型胸腹主动脉瘤与常染色体显性多囊肾病(ADPKD)相关。病例报告:一位54岁的女性，ct影像显示肝脏和右肾明显增大。患者有复杂的病史，包括需要血液透析的终末期肾衰竭和慢性阻塞性肺疾病。她的背痛已经持续了18个月。这归因于继发于腹部多囊性疾病的疼痛进展，因此未进行研究。她之前做过左肾切除术。采用开放逆行内脏血管重建和血管内支架置入术的单阶段混合方法成功治疗动脉瘤。我们报告这个病例是为了强调主动脉瘤和ADPKD之间的联系，我们提出了一个解决复杂技术问题的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

EJVES Extra

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